East Bay Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at East Bay Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observations, interviews, and record review, the facility failed to ensure a clean, sanitary and maintained kitchen space to include: 1. Broken/missing trash receptacles at two of two hand washing stations; 2. A walk in freezer unit observed with heavy frosting crystallization on food items, shelving, and boxes of food items; 3. Overhead ceiling vents and ceiling tiles located above food prep and food service stations with dust and debris, 4. Various rusted areas near washed/sanitized cups and eating ware; and 5. Staff not wearing hair/beard covers appropriately while at food preparation and food service stations during three of four days observed, (2/12/2024, 2/13/2024, 2/14/2024). Findings included: 1. […]

• No harm, potential for more than minimal, patternF812Nov 5, 2021

  Based on observations, record reviews, and interviews, the facility failed to store, distribute, and prepare food in accordance with professional standards for food service safety related to food stored underneath vents with an excessive amount of black build up in the mechanical room, a window blind with an excessive amount of dust and black build up directly behind food in the mechanical room, water stored on the floor in the mechanical room, a broken foot petal device on the trash can at the hand washing sink, inappropriate storage of utensils, and black buildup on the ice machine. Findings included: On 11/02/21 at 9:47 a.m., the Kitchen Manager reported that the hurricane supply was stored in the mechanical rooms, and he would have to get a key to open the door. […]

• No harm, potential for more than minimal, patternF880Jan 5, 2021

  Based on observation, interview and record review, the facility failed to maintain an effective infection prevention program during a second active COVID-19 outbreak by: 1) one staff member (A) failing to disinfect reusable equipment and perform hand hygiene between six residents (#1, #2, #3, #4, #5, and #6) of six residents observed in one wing (West) of two wings, 2) two staff members (C & D) of five staff members observed failed to wear the required masks and stored mask in shirt pocket while in the facility. Findings included: 1. During an interview with the Infection Control Nurse on 1/5/21 at 11:15 a.m. she stated they had an active COVID-19 unit in October (2020) or November (2020) on the West hall then closed it. […]

• No harm, potential for more than minimal, isolatedF656Feb 15, 2024

  Based on observations, interviews, and record review, the facility failed to implement interventions in the comprehensive care plan one resident (#90) of three resident sampled. Findings included: A review of the admission record showed Resident #90 was admitted to the facility on [DATE] with diagnoses including disorder of the skin and subcutaneous tissue, adult failure to thrive, cachexia (unintentional weight loss), and abnormal weight loss. A review of the active orders, as of February 2024, showed the following: -Bilateral heel elevation boots when in bed every shift. Remove for skin checks, hygiene and all cares as needed. Start date 4/5/23. […]

• No harm, potential for more than minimal, isolatedF676Feb 15, 2024

  Based on observations, interviews, and record review, the facility failed to ensure one resident (#98), who was dependent on staff for eating assistance, received eating assistance in a manor to promote a safe and comfortable eating experience out of forty-seven sampled residents during one observed meal (12/12/2024) of one meal observed. Findings included: On 2/12/2024 at 11:55 a.m. an observation in the main dining room during the lunch meal was conducted. There were two sections of the dining room. A large section with ten tables where residents who dine and eat without eating assistance, and a smaller section with six tables where residents were assisted with their meals. […]