Country Manor la Mesa Healthcare Center

In the surveyor’s words

From the most serious findings on record at Country Manor la Mesa Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Nov 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure staff and visitors followed the protocol for transmission-based precautions for residents under investigation for COVID-19. This failure had the potential to allow COVID-19 to infect staff, visitors, and residents. Findings: On 11/16/21 at 8:04 A.M., an observation was conducted of Station Four. No signs were observed on the unit which denoted transmission-based precautions (measures used to protect individuals from spreading contagious illnesses, such as COVID-19) were in place. Staff was observed to be entering resident rooms without donning gowns or gloves. On 11/16/21 at 9:09 A.M., an observation was conducted of room [ROOM NUMBER]. […]

• No harm, potential for more than minimal, patternF677Jan 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure three of six residents, who were unable to carry out activities of daily living (ADL-self- care activities such as grooming, bathing, and toileting), received assistance with nail care (cleaning, trimming and/or filing of nails) and shaving. (Resident 21, 57 and 67) This failure resulted in residents having long, dirty fingernails, a thick beard and moustache which had the potential to negatively impact the residents' self-esteem and comfort. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Jan 16, 2025

  Based on observation and interview, the facility failed to ensure the kitchen staff followed a recipe during food preparation. As a result, there was a potential the taste of the food was affected. Findings: On 1/14/25 at 10:53 A.M., a concurrent observation of pureed (liquidized/crushed) food preparation, interview, and recipe review was conducted with [NAME] (CK) 1. A review of the recipe for the lunch menu indicated CK 1 was supposed to add 1/8 teaspoon (tsp) of margarine to the pureed food. CK 1 was observed to have used the 1/4 tsp measuring spoon to add the margarine. CK 1 stated she just used less than the 1/4 tsp to measure the margarine. CK 1 stated the recipe needed to be followed. On 1/14/25 at 11:09 A.M., an interview with the Dietary Manager (DM) was conducted. […]

• No harm, potential for more than minimal, patternF865Jan 16, 2025

  Based on interview and record review the facility's Quality Assessment and Assurance Committee (QAA-facility group that monitors concerning trends in a facility) failed to identify and include in the facility's Quality Assurance Performance Improvement plan (QAPI-plan developed by QAA to help improve conditions in the facility) deficient trends found by surveyors during the recertification survey concerning grooming/hygiene and the management of residents with Post Traumatic Stress Disorder (PTSD- a mental health condition that's caused by an extremely stressful or terrifying event - either being part of it or witnessing it). […]

• No harm, potential for more than minimal, patternF812Nov 19, 2021

  Based on observation and interviews, the facility failed to ensure food was served in a safe manner when Cook 1 (C1) did not use appropriate hand hygiene or change gloves between tasks. As a result, there was a potential to place residents at risk for food borne illness. Findings: On 11/18/21 at 11:48 A.M., an observation of the facility's tray line was conducted. C1 was observed picking up a plastic bag from the counter behind the tray line. C1 removed a thermometer from a plastic bag and wiped it with an alcohol swab. C1 began taking the temperatures of the food on the tray line. Once finished, she cleaned the thermometer and put it back in the plastic bag but did not change her gloves between these tasks. C1 proceeded to use her gloved hand to pick up a plate. […]