Capistrano Beach Care Center

In the surveyor’s words

From the most serious findings on record at Capistrano Beach Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Dec 9, 2021

  Based on observation, interview, facility document and P&P review, the facility failed to ensure the CDM was competent to manage the day to day operations of the food service department as evidenced by: 1. The CDM failed to provide food in a manner that was in accordance with current food safety guidelines. 2. The CDM failed to ensure recipes were followed and correct portion sizes were served. 3. The CDM failed to ensure therapeutic diets were followed. 4. The CDM failed to ensure foods were prepared to conserve nutritive value. 5. The CDM failed to ensure mechanically altered diets were served food consistent with the prescribed texture. 6. The CDM failed to follow and document the residents' food preferences. […]

• No harm, potential for more than minimal, widespreadF803Dec 9, 2021

  Based on observation, interview, and facility P&P review, the facility failed to ensure the menu was followed. * The facility failed to ensure the recipes were followed. * The facility failed to ensure the therapeutic diets were followed. * The facility failed to ensure the correct portion sizes were followed. These failures had the potential for resident's nutritional needs not to be met which could further compromise their medical status. Findings: Review of the CMS 672 Resident Census and Conditions of Residents completed by the facility dated 12/6/21, showed 77 of 80 residents in the facility received food prepared in the kitchen. 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 9, 2021

  Based on observation, interview, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen. * The facility failed to ensure the expired foods were discarded. * The facility failed to ensure proper thawing of frozen food in the refrigerator. * The facility failed to ensure a cooling log was in place. * The facility failed to ensure proper covering, labeling, and dating of foods in the kitchen. * The facility failed to ensure the proper storage of produce. * The facility failed to ensure the proper use of the sanitizing solution in the sanitizing sink. * The facility failed to ensure proper backflow prevention of two of three air gaps. * The facility failed to ensure proper sanitary condition of the hood over the stove. […]

• No harm, potential for more than minimal, patternF812Nov 19, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed. 1. One of 14 kitchen employees did not perform hand hygiene during food preparation.2. The sanitizing test strips were not available to test the sanitizing solution and sanitizing solution log was incomplete.3. The residents' nutritional supplements were not stored appropriately.4. The hair restraints were not utilized by kitchen staff.5. The food stored in the nourishment refrigerator was not stored at the proper temperature.6. The employee's personal items were not stored appropriately.7. The expired food was not discarded and food was not dated.8. The food in the nourishment refrigerator was not dated.9. […]

• No harm, potential for more than minimal, patternF880Nov 19, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to implement their infection control program in accordance with the facility's P&P. * The facility failed to implement their infection control surveillance program for the months of January through November 2025. The facility conducted surveillance of resident infections based on whether the residents were prescribed antimicrobial medications. The facility failed to determine whether the residents who exhibited signs and symptoms of infection and were not prescribed antimicrobial medications met the facility's criteria for infection (utilizing McGeer's Criteria) and thus, failed to include these residents in the facility's infection control surveillance program. […]