Chapman Global Medical Center D/P SNF

In the surveyor’s words

From the most serious findings on record at Chapman Global Medical Center D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Apr 9, 2026

  Based on observation, interview, medical record review, and facility's P&P review, the facility failed to provide a homelike, clean and comfortable environment for five of ten residents rooms. * The facility failed to ensure Resident 8's room was free with water mark discoloration in the ceiling. In addition, the facility failed to ensure the window blinds for rooms [ROOM NUMBER] were not missing panels. * The facility failed to ensure Resident 9's privacy curtains were well maintained and not off the hook. * The facility failed to ensure Resident 23's GT feeding pole stand was clean and free from brownish, dirt like particles. * The facility failed to ensure the window blinds for room [ROOM NUMBER] were not missing panels. […]

• No harm, potential for more than minimal, patternF726Apr 9, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure three of five licensed nurses (LVNs 7, 8, and 10) demonstrated the competencies needed to provide safe nursing care. * LVNs 7, 8, and 10 failed to disconnect the residents from the GT extension tubing when the residents' GT feeding reached the formula dose limit or after the feeding formula was completed. These failures had the potential to put the residents at risk for enteral feeding care not provided in a safe and competent manner.Findings Review of the facility's P&P titled Enteral Feeding revised 12/2020 showed to review the order for feedings such as formula, dose limit, rate, and number of hours for infusion per physician orders. […]

• No harm, potential for more than minimal, patternF761Apr 9, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to provide the necessary pharmacy services for five of 12 final sampled residents (Residents 3, 12, 13, 20 and 21), five nonsampled residents (Residents 5, 9, 10, 16, and 18) and for three of seven medication carts (Medication Carts A, C, and D) to ensure proper storage and labeling of the medications. * Medication Cart A had multiple colored stains, dust and rust-like particles. Additionally, there were expired wound supplies and culture and sensitivity tests. * Medication Cart C had internal and external medications stored together in the same drawer. Additionally, Resident 3's Lantus medication was expired. * Medication Cart D had rust on the mid-base of the first drawer. […]

• No harm, potential for more than minimal, patternF813Apr 9, 2026

  Based on interview and facility P&P review, the facility failed to ensure safe food handling of the food brought for the residents from outside sources. * The facility failed to ensure the facility staff members who handled the outside food demonstrated competency on safe food handling procedures. This failure posed the risk of food contamination which could lead to food borne illness for three residents who consumed food by mouth. Findings: Review of the facility's P&P titled Food from an Outside Source dated 2/2000 showed the guidelines for storing food in the nursing units included to label all containers with the resident's name, medical record number, and date. The food will be discarded within 48 hours unless the manufacturer's expiration date was present. […]

• No harm, potential for more than minimal, patternF880Apr 9, 2026

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to implement the infection control practices designed to provide the safe and sanitary environment and help prevent the development and transmission of diseases and infections. * The facility failed to implement the infection control surveillance program for the months of October 2025 through March 2026. The facility conducted surveillance of the residents infections only when the residents were prescribed an antimicrobial medications and/or if the residents were diagnosed with an infection. […]