Carlsbad by the Sea

In the surveyor’s words

From the most serious findings on record at Carlsbad by the Sea, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Dec 5, 2024

  Based on observation, interview, and record review the facility failed to store food safely when it: 1. Left a vegan meatball, fruit, vegetables, and other food debris under prep table for 2 days. 2. Did not label the facility's dry, frozen, and refrigerated foods with the month, the day, and the year. 3. Did not clean up loose sugar from the bottom of a box of sugar packets in the dry storage room. 4. Did not refrigerate soy sauce and orange sauce after opening per manufacturer's guidelines on sauces' labels. 5. Did not cover precooked shrimp in a sealed container in the middle section of the walk-in refrigerator. […]

• No harm, potential for more than minimal, patternF812Jan 27, 2023

  Based on observation, interview, and record review, the facility failed to ensure sanitary conditions were met in the kitchen when: 1) Stored food was not consistently labeled and dated. 2) Stored food was not removed from storage when it was expired or reached its use by date. 3) Food preparation and cooking areas had food debris and trash on the shelving, inside the reach-in refrigerators, and on the floors. The cooking area's backsplash and stove hood was covered in a thin, brown, oily substance. 4) Clean water pitchers for resident use were stored wet. […]

• No harm, potential for more than minimal, patternF883Mar 9, 2021

  Based on interview and record review, the facility failed to ensure residents pneumococcal vaccinations were administered in accordance with facility policy, and recognized national standards, for five of five residents (3, 4, 5, 6, and 7), reviewed for pneumococcal vaccinations. This failure had the potential to expose residents to pneumococcal infections. Findings: Resident 3 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident 4 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident 5 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident 6 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. Resident 7 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, isolatedF755Mar 25, 2026

  Based on interview and record review, the facility failed to ensure the controlled drug record (CDR- an accounting of controlled medications, drugs with a high abuse potential) reconciled with the medication administration record (MAR- documentation that a resident received a medication) for one of three residents (19). This failure had the potential for the facility to be unable to readily identify loss and drug diversion (illegal distribution or abuse of prescription drugs) of controlled medications.This failure had the potential for Resident 19's controlled drugs to be diverted (when a medication is taken for use by someone other than whom it is prescribed).Findings:A review of Resident 19's Face Sheet indicated resident was admitted on [DATE] with a diagnosis that includes Trochanteric… […]

• No harm, potential for more than minimal, isolatedF812Mar 25, 2026

  Based on observation, interview, and record review, the facility failed to follow appropriate infection prevention and control practices when an expired plastic container of canned black beans was stored in the refrigerator.This failure had the potential to result in foodborne illness to a vulnerable population.Findings:On 3/22/2026 at 7:53 A.M., an initial facility kitchen tour observation and interview was conducted with Sous Chef (SC). In refrigerator number one, there was a small plastic container of black beans on the shelf, with a discard date of 3/18/26 written on the label. The SC stated the container of black beans should have been thrown away. The SC stated expired food could cause residents to become ill. […]