El Encanto Healthcare Center

In the surveyor’s words

From the most serious findings on record at El Encanto Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 25, 2023

  Based on interview, and record review, Certified Nursing Assistant 1 (CNA 1) failed to provide care and services to prevent a fall (unintentionally coming to rest on a lower-level surface) for one of three sampled residents (Resident 1) by failing to: 1. Ensure CNA 1 provided two-person physical assistance (help from two person) when using a Hoyer Lift (mechanical lift, a device used by staff to transfer residents from a bed to a chair or other similar places) to transfer Resident 1 from Resident 1's bed to the Geri chair (large, padded chair with wheeled bases, and are designed to assist seniors with limited mobility/ability to move). 2. […]

• No harm, potential for more than minimal, patternF578Jul 2, 2026

  Based on interview and record review, the facility failed to follow its Policy and Procedure (P&P) titled Advance Directives (AD, a written instruction, recognized under State law relating to the provision of health care when the individual was incapacitated [lacking the ability to meet essential requirements for physical health, safety, or self-care]), for four of six sampled residents (Residents 13, 39, 58, and 63) when: a. Resident 13's AD Acknowledgement Form (ADAF, part of an advance directive, a legal document that allowed a person to specify their medical care wishes and who should make decisions for them if they could not) was not completed.b. Resident 58's ADAF was not completed.c. Resident 39's AD was not in Resident 39's chart.d. […]

• No harm, potential for more than minimal, patternF676Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure non-English speaking (refers to an individual who cannot speak or understand or have difficulty speaking or understanding the English language) residents were provided with a communication board/device in a language that the resident understood for two of two sampled residents (Residents 5 and 41). These failures had the potential to affect Residents 5 and 41's communication with staff resulting in a delay in the provision of care, treatment and services to Residents 5 and 41. Findings: a. […]

• No harm, potential for more than minimal, patternF700Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to implement its Policy and Procedure (P&P) on the use of bed rails/siderails (adjustable metal or rigid plastic bars attached to the bed) for three of three sampled residents (Residents 39, 59 and 62) by failing to:a. Follow the Physician Order (PO) to apply bilateral (both sides) 1/2 side rails at head of bed (HOB) for Resident 39.b. Obtain a PO and an informed consent on the use of bedside rails before its application for Resident 59. c. Ensure Resident 62's informed consent for the use of bilateral one-half (1/2) side rails indicated the name of the person giving the consent and the name of the staff verifying the consent. […]

• No harm, potential for more than minimal, patternF812Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe food storage and sanitary food storage in one of one facility kitchen by failing to:a. Label a tray with fifteen (15) small, square paper packages (juice box) of cranberry juice and fourteen (14) juice boxes of apple juice inside the kitchen cooler fridge with delivery date and used by (the last date recommended for the product to be used)/best by (when a product will have the best flavor, texture, or quality) date or expiration date (final date set by a manufacturer after which a product should not be used or consumed).b. […]