Creekview Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Creekview Skilled Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Apr 13, 2023

  Based on observation, staff interviews, and review of facility documents, the facility failed to comply with Federal regulations related to the oversight of food service operations when the facility did not have a full-time Registered Dietitian and/or a full-time Director of Food Services in accordance with California Code, Health and Safety Code - HSC S 1265.4 The lack of a full-time, qualified supervision over Food and Nutrition services had the potential to result in inadequate supervision leading to food borne illness for 45 residents who received food from the kitchen out of a facility census of 51. […]

• No harm, potential for more than minimal, widespreadF802Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure kitchen staff were competent in job duties related to: 1. using the three compartment sink; 2. testing the sanitizer liquid in the red sanitization bucket; and 3. cleaning the juice machine. These failures have the potential for improper cleaning and sanitization which could lead to increased risk for food-borne illness for 45 residents who received food from the kitchen out of a facility census of 51. Findings: 1. During a concurrent observation and interview on 04/11/23, at 09:37 a.m., with Utility Worker (UW) and the Food and Nutrition Services Director (FNSD) in the kitchen dishwashing area, FNSD stated the 3-compartment sink is a back-up for washing dishes if the dish machine did not work. […]

• No harm, potential for more than minimal, widespreadF812Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food safely when: 1. Meat was not thawed according to storage guideline dates; 2. kitchen staff did not follow appropriate hand hygiene and glove use procedures when going between and handling dirty dishes and clean dishes; 3. Three out of 5 storage bins for bulk dry goods had crumbling plastic liners; 4. Four out of 12 pairs of tongs and 1 ladle had cracked handles; 5. 2 of 2 Ice machines in the kitchen and nourishment room had rough, discolored surfaces on ceiling of the ice bin where ice was stored; and 6. […]

• No harm, potential for more than minimal, widespreadF880Apr 13, 2023

  Based on observation interview and record review, the facility failed to ensure infection control practices were implemented when the following was noted for eight of eight residents: 1. An unlabeled bedpan and basin were observed in the shared bathroom of Residents 14 and 34. A yellow basin labeled for Resident 34 was on the floor in the Resident's shared bathroom. 2. Resident 34's feeding pump had tannish-brown residue in the tubing channel and flaky, light brown residue on the base of the pole. 3. Resident 17's wheelchair had torn armrests and dried, flaky reddish-brown matter and white staining on the seat and in the metal frame. 4. The facility did not have appropriate isolation precaution signage for four of four sampled residents (2, 21, 100 and 349). 5. […]

• No harm, potential for more than minimal, patternF761Apr 13, 2023

  Based on observation, interview, and record review, the facility failed to store and label medication in accordance with standards of practice by failing to date three open bottles of medications (sodium chloride, milk of magnesia and bismuth subsalicylate), and one open container of blood sugar test strip for two of three medication carts inspected. This failure had the potential to result in medications and test strip used to not be effective. Findings: During a concurrent observation and interview of medication cart 3 on 4/11/23, at 10:40 a.m., with LVN 2, LVN 2 pulled from medication cart drawer one bottle of sodium chloride (salt - an essential compound a body uses to function) and one container of blood sugar test strip (the strip work with glucose meters to read blood sugar… […]