Chinese Hospital D/P SNF

In the surveyor’s words

From the most serious findings on record at Chinese Hospital D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF813Aug 9, 2024

  Based on observation, interview, and facility document review, the facility failed to have a system in place to ensure the safe storage of residents' personal perishable food. This failure had the potential to result in foodborne illness for 18 residents who took food by mouth out of a facility census of 19. Findings: Review of the Policy and Procedure (P&P) titled Bringing In Outside Food for Residents in Skilled Nursing Unit revised January 2024, showed Resident's nurse will store the perishable food in the resident refrigerator and freezer located in Dining Room on the SNF (Skilled Nursing Facility). The temperature will be systematically monitored, and a temperature log will be maintained in collaboration with the Facilities department. […]

• No harm, potential for more than minimal, patternF605Feb 26, 2026

  Based on interview and record review, the facility failed to ensure three of six sampled residents (Residents 26, 14, and 15) were free from unnecessary psychotropic medications (drugs that affect brain activities associated with mental processes and behavior) when:1. For Resident 26, there was no specific target behavior monitoring for the use of Lorazepam (medication used to treat anxiety) and2. For Residents 14 and 15, there was no diagnosis and/or specific condition for the use of antipsychotic medication.These deficient practices had the potential for residents to receive unnecessary psychotropic medication, be exposed to adverse health consequences from the medication, which could negatively impact the resident's mental, physical, and psychosocial well-being.1. […]

• No harm, potential for more than minimal, patternF656Feb 26, 2026

  Based on observation, interview, and record review the facility failed to develop care plans for Residents 1, 14, 15, and 26, four residents out of a total sample of 8 residents. These were the areas the facility failed to care plan:Resident 15- antipsychotic medicationResident 1- anti-anxiety medication Resident 26- anti-anxiety medicationResident 14- bed railsThese failures had the potential to negatively impact these residents' health and safety.1. A concurrent interview and review of Resident 15's medical records was conducted on 2/24/26 at 1:59 PM with the Director of Staff Development (DSD). Review of Resident 15's medical records titled Order Summary Report, for February 2026, indicated Resident 15 had a physician order for .Paliperidone Palmitate. […]

• No harm, potential for more than minimal, patternF690Aug 9, 2024

  Based on observation, interview, and record review, the facility failed to obtain a physician's (MD) order and develop a comprehensive care plan for the use of female external catheter for two of two sampled residents (Residents 158 and 201). This failure had the potential for residents to not receive appropriate treatment and services. Findings: 1. Resident 158 was admitted on [DATE] with diagnoses including obesity, chronic pain, adult failure to thrive (inability to sustain weight due to poor nutrition), and major depressive disorder. […]

• No harm, potential for more than minimal, patternF695Aug 9, 2024

  Based on observation, interview, and record review, the facility failed to obtain a physician's (MD) order and develop a comprehensive care plan for oral suctioning for two of two sampled residents (Residents 151 and 205). This failure had the potential for residents to not receive appropriate treatment and services. Findings: 1. Resident 151 was admitted on [DATE] with diagnoses including transient ischemic attack (TIA-a brief episode when blood flow to the brain is temporarily cut off), dysphagia (difficulty swallowing), and depression. Mental status assessment indicated Resident 151 was moderately impaired. During an observation on 8/5/24 at 9:58 AM, Resident 151 was asleep in bed, oral suctioning equipment was at resident's bedside table. […]