Costa del Sol Healthcare

In the surveyor’s words

From the most serious findings on record at Costa del Sol Healthcare, in the surveyor’s own words.

• Immediate jeopardy, patternF880Dec 23, 2021

  Based on observation, interview, and record review, the facility failed to implement interventions to prevent and control the spread of the coronavirus disease ([COVID-19]) an illness caused by a virus that can easily spread from person to person) per the facility's mitigation plan (MP). The facility failed to: a. Perform Non-Oil N95 respirator (a type of mask worn over the face to cover the nose and mouth that provides respiratory protections against aerosols [a suspension of fine solid particles or liquid droplets in air] and prevent infections) fit testing (a method of ensuring the mask properly fits the face of the wearer to protect from inhaling infectious particles) with the new N95 brands ([NAME], Champak, 3M, and [NAME]) for fifty-two (52) out of seventy-four (74) staff members. […]

• Actual harm, isolatedF624Nov 6, 2024

  Based on interview and record review, the facility failed to ensure two of three sampled residents (Residents 1 and 2) were prepared for a safe discharge from the facility when the following occurred: 1. On [DATE], facility staff discharged Resident 1, who required extensive assistance with activities of daily living (ADLs, routine tasks/activities such as bathing, dressing and toileting a person performs daily to care for themselves) and mobility, without arrangements for home health services (a wide range of health care services that you can get in your home for an illness or injury), as ordered by the physician. 2. […]

• Actual harm, isolatedF692Jan 20, 2023

  Based on interview and record review, the facility failed to prevent weight loss and dehydration (dangerous loss of body fluid caused by illness, sweating, or inadequate intake) as per the resident ' s plan of care and the facility ' s policy and procedure (P&P) for one of four sampled residents (Resident 1) by failing to: 1. Ensure Resident 1 ' s nutritional status was assessed and addressed by the licensed staff from [DATE] to [DATE] and implement interventions such as honoring the resident ' s food preferences and likes/dislikes when Resident 1 began to refuse to eat. 2. […]

• No harm, potential for more than minimal, widespreadF725May 16, 2024

  Based on observation, interview, and record review, the facility failed to provide sufficient nursing staff to: 1. Provide range of motion ([ROM] full movement potential of a joint [where two bones meet]) exercises, apply splints (material used to restrict, protect, or immobilize a part of the body to support function, assist and/or increase range of motion), and perform ambulation (the act of walking) to 43 residents requiring a Restorative Nursing Assistant (RNA, nursing aide program that helps residents to maintain their function and joint mobility) program, including five of seven sampled residents (Resident 8, 27, 49, 61, and 63) with limited mobility (ability to move). […]

• No harm, potential for more than minimal, widespreadF867Mar 25, 2022

  Based on interview and record review, the facility's Quality Assessment and Assurance (QAA) Committee failed to implement corrective actions to the systemic problems identified: a. Ensure the medication administration error rate was below five (5) percent; b. Ensure consistent implementation of the facility's antibiotic stewardship program (effort to measure and improve how antibiotics [medications that fight infections-- germs invade body and makes the body sick]were prescribed by clinicians and used by residents in the facility) c. Ensure the competency of kitchen staff when following a pureed diet [food that doe not need to be chewed] recipe and serving the correct amount of food to residents as specified in the menus; d. […]