Centinela Skilled Nursing & Wellness Centre West

In the surveyor’s words

From the most serious findings on record at Centinela Skilled Nursing & Wellness Centre West, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 21, 2025

  Based on observation and interview, the facility failed to: 1. Ensure a clear container which contained turkey sandwich meat was dated and labeled in the delivery freezer.This deficient practice had the potential to result in foodborne illness and contamination for 34 out of 54 residents.Findings:During a concurrent observation and interview, of the initial kitchen tour, on 11/18/2025 at 8:25 a.m., with the Dietary Supervisor (DS), a clear Tupperware container with a green lid was observed to not have a label of the food contained nor a date label in the Delivery refrigerator. The DS stated the turkey sandwich meat was used for snacks and sandwiches for the residents of the facility. The DS stated food items in the refrigerator were required to have a label, and an open and use by date. […]

• No harm, potential for more than minimal, patternF812Oct 13, 2023

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen were followed when: 1. Three bags of breaded potato hash browns were stored in the reach-in freezer with no date label. One large container of apple sauce was store in the reach-in refrigerator with no date. 2. Personal water bottles were stored in the facility two door reach-in refrigerator. 3. Nutritional supplement labeled store frozen, with manufactures instruction to use within 14 days of thawing, were not monitored for the date they were thawed to ensure expired shakes were discarded after this time frame. 30 strawberry flavored nutrition supplements were stored in the reach in refrigerator with no thaw date. […]

• No harm, potential for more than minimal, patternF761Oct 14, 2022

  Based on observation, interview, record review the facility failed to remove and replace expired medical supplies and nutritional protein supplement in their Central Supply Storage Room. This deficient practice had the potential to result in the use of ineffective equipment and supplements for the residents. Findings: During a concurrent observation and interview with Housekeeping/Central Supply Supervisor (HKS) on 10/12/2022, at 1:50 PM, of the Central Supply Storage Room (CSR) the CSR was observed with expired medical supplies and nutritional protein supplements. HKS stated, Anything expired should be thrown away. The following medical equipment and nutritional protein supplements have expired: 1. […]

• No harm, potential for more than minimal, patternF800Oct 14, 2022

  Based on observation, interview and record review, the facility failed to implement their corona virus ([Covid-19] a highly contagious respiratory virus caused by [CONDITION(S)]-CoV-2 virus) policy and procedure (P&P) titled Covid-19 Mitigation Plan by failing to ensure staff wore a face shield (protective covering for all or part of the face to reduce the spread of infection) in the Green Zone (designated area for residents who are negative for COVID-19 and who do not have COVID-19 symptoms). This deficient practice had the potential to spread Covid-19 to non-infected residents, staff and the community. […]

• No harm, potential for more than minimal, patternF803Oct 14, 2022

  Based on observation, interview, and record review, the facility failed to follow the menu written for residents on puree diet. Four residents on pureed diet received less protein and starches. This failure resulted in resident not receiving the necessary nutritional content of food and had the potential of decreased the resident's nutritional intake and lead to weight loss for the residents. Findings: According to the facility's lunch menu on 10/11/22, the following items would be served: Lemon chicken piccata pureed use #8 scoop (4 ounces ([oz] unit of measurement)), pasta with creamy Italian sauce pureed (1/2 cup), spinach au gratin pureed use #12 scoop (1/3 cup), pureed green salad, gelatin/whip topping. […]