Casa de las Campanas

In the surveyor’s words

From the most serious findings on record at Casa de las Campanas, in the surveyor’s own words.

• Actual harm, patternF692Aug 8, 2025

  Based on observation, interview, and record review, the facility failed to implement a comprehensive systematic approach to ensure effective monitoring to maintain acceptable parameters of nutritional status for 1 of 5 sampled Residents (Resident 3) when: 1. The facility did not follow their policy for change of condition (physical change-weight loss) when Resident 3 was not placed on weekly weights (measurement of body weight).2. The Registered Dietitian (RD) did not reassess Resident 3's weight loss to determine appropriate interventions.3. Resident 3's weight loss was not communicated to the physician.4. […]

• Actual harm, patternF867Aug 8, 2025

  Based on observation, interview and record review, the facility's QAPI committee failed to ensure action plans related to deficient practices identified in the last recertification survey, dated 8/5/25 through 8/8/25, were implemented by 8/25/25 as their POC (Plan of Correction) indicated.As a result, the facility remained noncompliant with a deficiency cited during the prior survey, which had the potential to affect the health and safety of the residents.Findings:Following a recertification survey dated 8/5/25 through 8/8/25, the facility provided a POC which ensured: an audit of resident weights was conducted, a weekly risk review of all resident nutrition needs assessments, consumption, and needs for assistance would be provided. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2026

  Based on observation, interview, and record review, the facility failed to store food under sanitary conditions to prevent contamination when:Prepared potatoes were stored uncovered in the walk-in refrigerator.Raw chicken was not stored on the lowest shelf of the walk-in refrigerator and was stored above raw pork.As a result, food was at risk for contamination, putting residents at risk for foodborne illness.Findings: 1. During a kitchen observation and concurrent interview on 7/28/2026 at 8:45 AM with the executive chef (EC), a large container of cut yellow potatoes in water was stored uncovered in the walk-in refrigerator. The EC acknowledged the potatoes were not covered and stated prepared food should be covered to prevent contamination and reduce the risk of residents becoming ill. […]

• No harm, potential for more than minimal, patternF755Aug 4, 2026

  Based on observation, interview, and record review, the facility failed to ensure medications were available and administered according to the physician's order for four of four residents (Resident 66, 71, 69 and 70) observed during medication administration.This deficient practice had the potential to affect the residents' health and wellbeing.Findings:A medication administration observation was conducted on 7/30/26 with Licensed Nurse (LN) 5.1. Resident 66 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease (brain disorder that causes uncontrollable movements and difficulty with balance and coordination) according to the facility's admission Record.During medication preparation for administration on 7/30/26 at 8:14 A.M. […]

• No harm, potential for more than minimal, patternF761Aug 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure medications and nutritional supplements were properly stored for 3 out of 4 medication storage rooms reviewed for medication storage and for one of four residents when:1. Resident 78 had medications unsecured at bedside,2. Station one medication room had an expired medication, and a bottle of nutritional supplement,3. Expired medications and a box of nutritional supplements were stored in the main central supply room.These failures had the potential for unsafe and ineffective use of medications and supplements with decreased therapeutic effectiveness when used past the expiration date. […]