Coronado Ridge Skilled Nursing & Rehabilitation Ce

In the surveyor’s words

From the most serious findings on record at Coronado Ridge Skilled Nursing & Rehabilitation Ce, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Jul 13, 2023

  Based on observation, interview, record review, and document review, the facility failed to provide sufficient nursing staff to attain and/or maintain the highest practical level of physical and mental well-being for 7 of 32 sampled residents (Residents 4, 23, 25, 63, 204, 290 and 239). The deficient practice resulted in the affected residents experiencing loss of dignity and physical hardship. The deficient practice was identified in all four nursing units and had the potential to cause negative outcomes for any resident residing in the facility. Findings include: The Facility Assessment Tool, dated [DATE], indicated the following: The facility was licensed to provide care for 121 residents. […]

• No harm, potential for more than minimal, widespreadF848Jul 13, 2023

  Based on interview and document review, the facility failed to ensure the Arbitration Agreement provided for the selection of a neutral arbitrator agreed upon by both parties; and for the selection of a venue that is convenient to both parties. The deficient practice had the potential to obstruct each resident's ability to make a well-informed decision about signing the arbitration agreement. Findings include: On 07/13/2023, the facility Resident-Facility Arbitration Agreement, undated, indicated by signing the contract, the resident agreed to have all claims decided by arbitration and the resident was giving up the right to jury or court trial. There were lines provided for the resident to initial and sign the agreement. […]

• No harm, potential for more than minimal, widespreadF886Jul 30, 2021

  Based on observations, interviews, and document review, the facility failed to ensure appropriate infection control measures to prevent and/or contain the spread of COVID-19 was implemented as evidenced by 8 of 11 sampled staff members were not routinely testing themselves for COVID-19 according to the county's positivity rate (Employees #1, #4, #5, #7, #8, #9, #10 and #11). Findings include: On 07/29/2021 in the morning, three staff members were observed performing a COVID-19 nasal swab rapid test at the facility's designated testing area. The staff members were not being monitored and were responsible for testing themselves, reading their own results and writing the information in a logbook. […]

• No harm, potential for more than minimal, patternF550Jul 13, 2023

  Based on observation, interview, record review, and document review, the facility failed to ensure a prompt response to residents' call lights and provision of continence care was provided to dependent residents for 5 out of 32 sampled residents (Residents 4, 63, 290, 25, and 239), resident's privacy was respected by failure of staff to knock on doors prior to entry and medical appointments were arranged for 1 of 32 sampled residents (Resident 80). These deficiencies in practice have the potential to compromise resident safety, cause delays in emergency assistance, increase the risk of falls or accidents, decrease the quality of life for residents, and potentially lead to neglect or mistreatment. […]

• No harm, potential for more than minimal, patternF658Dec 29, 2022

  Based on observation, interview, and document review the facility failed to ensure medication administration was completed in a safe manner by licensed staff. The failed practice had the potential to lead to medication errors impacting the well- being of its residents. On 12/28/2022 at 12:15 PM, Registered Nurse #1 (RN1) was observed preparing medications near the nursing station. RN1 had seven medication cups on top of their medication cart, each one marked with a residents' initials and room number. RN1 started filling each medication cup with different medications which were being pulled from different drawers in their medication cart. On 12/28/2022 at 12:24 PM, RN1 added the seven preprepared medication cups to the top of their clipboard and walked into a resident's room. […]