Channel Islands Post Acute

In the surveyor’s words

From the most serious findings on record at Channel Islands Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observation, interview and record review, the facility failed to ensure food and ice were stored, prepared and served in accordance with professional standards for food safety when: Kitchen equipment were stored wet with water inside. A Dietary Aide 2 (DA 2) was observed using the sanitation bucket to sanitize the food preparation counter that did not contain the recommended concentration levels of quaternary ammonium (a group of chemicals used for killing bacteria, fungi, and viruses) for sanitization (to reduce the number of disease-causing pathogens).Green, brown, black, and pink substances were inside the ice machine where the water dripped into the drip pan.Undated oat milk past the best if used by was found in resident refrigerator located at nursing station 3/4.The… […]

• No harm, potential for more than minimal, widespreadF851Aug 6, 2026

  Based on interview and record review, the facility failed to ensure required Payroll-Based Journal ([PBJ] a mandated reporting system used by the Centers for Medicare & Medicaid Services [CMS] to collect auditable, employee-level staffing data from long-term care facilities) staffing data was accurately submitted to CMS for Fiscal Year (FY) 2026, Quarter 1, (October 1-December 31, 2025).This failure resulted in the facility's failure to provide required information regarding staffing levels necessary to ensure the provision of safe and comprehensive care for all residents in accordance with federal regulations.Findings:A review of the facility's, PBJ Staffing Data Report, dated 7/24/26, the PBJ report for Quarter 1 2026 (October 1 - December 31, 2025) indicated the facility was triggered… […]

• No harm, potential for more than minimal, patternF755Aug 6, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of residents, when: 1. The facility failed to ensure accurate accountability of controlled drugs (controlled substances [CS], those with high potential for abuse and addiction) when the Controlled Drug Records (CDR, accountability records) for six of eleven randomly selected residents (Residents 30, 159, 39, 23, 11, and 164) did not reconcile with the Medication Administration Records ([MAR] - a daily documentation record used by a licensed nurse to document medications and treatments given to a resident). […]

• No harm, potential for more than minimal, patternF759Aug 6, 2026

  Based on observation, interview, and record review, the facility had a medication error rate of 13.16% when five medication errors occurred out of 38 opportunities during the medication administration observation for three of six residents (Residents 87, 96, and 121). These failures resulted in medications not given according to the physician's orders and had the potential for residents to experience side effects such as upset stomach, as well as incorrect medication doses and inadequate management of conditions.Findings:1. During a medication pass observation on 8/3/26 at 8:18 AM in Resident 87's room, Licensed Vocational Nurse 3 (LVN 3) was observed administering eleven medications for Resident 87. […]

• No harm, potential for more than minimal, patternF761Aug 6, 2026

  Based on observation, interview, and record review, the facility failed to ensure proper labeling and storage of medications according to the facility's practice and manufacturer's specifications in two of four reviewed medication carts (Medication Carts A and B) when:1. One box of expired glucometer control solution (chemical used to calibrate a glucometer [device to measure blood sugar]) was stored in one of four reviewed medication carts (Medication Cart A);2. One bottle of medication with an illegible label was stored in one of four reviewed medication carts (Medication Cart A);3. […]