Coast Care Convalescent Center

In the surveyor’s words

From the most serious findings on record at Coast Care Convalescent Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578Jan 2, 2026

  Based on interview and record review, the facility failed to ensure policies and procedures (P&P) on Advance Directive (AD, a legal document indicating resident preference on end-of-life treatment decisions) and Physician Orders for Life-Sustaining Treatment (POLST - a form that contains written medical orders for healthcare professionals regarding specific medical treatments that can or cannot be done at the end-of life) were implemented for three of three sampled residents (Residents 5, 8, and 41) by failing to:a. Ensure Resident 8's POLST was updated to reflect the resident did not have an AD.b. Ensure Resident 41's AD was in the medical record.c. Ensure Resident 5's Advance Directive Acknowledgement Form (ADAF) was updated to reflect the resident did not have an AD. […]

• No harm, potential for more than minimal, patternF656Jan 2, 2026

  Based on interview and record review, the facility failed to develop and implement an individualized, comprehensive plan of care for three of three sampled residents (Residents 34, 40 and 41). These failures had the potential to result in the residents not receiving individualized care, affecting their quality of life. Findings: a. During a review of Resident 40's admission Record (AR), the AR indicated Resident 40 was readmitted to the facility on [DATE] with diagnoses including anxiety disorder (mental health conditions causing intense, excessive, and persistent fear affecting daily life) and major depressive disorder (a serious mood disorder causing persistent sadness and loss of interest affecting daily life). […]

• No harm, potential for more than minimal, patternF812Jan 2, 2026

  Based on observation, interview, and record review, the facility failed to follow proper food storage handling practices in accordance with its policy and procedure (P&P) for one of one facility kitchen, as evidenced by:1. Four boxes of expired donuts were observed in the refrigerator with use by date of 12/16/25.2. One pack of expired sliced ham was observed in the freezer, with sell by date of 11/10/25.3. Two packs of expired roast beef were observed in the freezer, with sell by date of 10/30/25.4. One container of whole egg mayonnaise was observed in the refrigerator with incomplete open date.5. A sliced watermelon was observed in the refrigerator dated 12/18/25.6. Multiple and undated, brown-colored lettuce heads were observed in the refrigerator. […]

• No harm, potential for more than minimal, patternF880Jan 2, 2026

  Based on interview and record review, the facility failed to ensure policies and procedures (P&P) on Respiratory Syncytial Virus (RSV, a common respiratory virus that infects the nose, throat, respiratory tract, and lungs) were implemented for two of five sampled residents (Residents 5 and 6) by failing to: a. Ensure Resident 5 was administered the RSV vaccination after it was consented for by Resident 5's responsible party on 7/28/2025.b. Ensure the RSV vaccination was offered to Resident 6 nor Resident 6's responsible party. These failures had the potential to result in respiratory infections that could lead to severe illness and hospitalization. Findings: a. […]

• No harm, potential for more than minimal, patternF656Dec 23, 2025

  Based on interview and record review, the facility failed to develop specific and resident-centered care plans (CP) for three of three sampled residents (Residents 1, 2, and 3). These deficient practices had the potential for Residents 1, 2, and 3 to not receive appropriate care, treatment, and/or services related to their needs.Findings: a. During a review of Resident 1's admission Record (AR), the AR indicated Resident 1 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including hypertensive heart disease (high blood pressure [HTN] damaged the heart over time) and generalized muscle weakness. […]