Encinitas Post-Acute

In the surveyor’s words

From the most serious findings on record at Encinitas Post-Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 1, 2025

  Based on observation, record review, interview, facility document review, and facility policy review, the facility failed to maintain its food service equipment in a clean and sanitary manner related to 1 of 1 low temperature dishwashing machine observed. As a result, the residents of the facility were placed at risk for food borne illnesses. Findings included: An undated facility policy titled, Food & Dining Services Equipment Cleaning Procedures, revealed the section titled, 8. Dish Machine/Dishwasher, included, After every meal: 7. Wipe soap dispenser electrodes, outside of soap dispenser and dish machine with clean, damp cloth. Wipe dry. Further review revealed that the section also included, Dish machine de-liming weekly, with instructions to, 5. […]

• No harm, potential for more than minimal, patternF638May 1, 2025

  Based on interview, record review, and review of the Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were completed at least once every three months and were signed as complete within 14 days of the Assessment Reference Dates (ARDs) for 7 (Residents #41, #47, #100, #26, #31, #110, and #27) of 17 residents reviewed for resident assessments. Findings included: The CMS Long-Term Care RAI 3.0 User's Manual, Version 1.19.1, dated 10/2024, revealed Chapter 2: Assessments for the Resident Assessment Instrument (RAI), specified, 05. […]

• No harm, potential for more than minimal, patternF880Aug 17, 2023

  Based on observation, interview, and record review, the facility failed to ensure safe infection control practices when: 1. CNA 22 did not properly don (to put on) the required personal protective equipment (PPE) prior to entering one of 15 COVID positive (a highly contagious virus), resident rooms; 2. A urinary catheter drainage bag was in contact with the floor for one of three residents (Resident 83), reviewed for urinary catheter care; 3. A wound vac on floor was on the floor for one of one resident (Resident 55) reviewed for pressure ulcers and; 4. An oxygen tubing was not dated for one of one resident (Resident 38) reviewed for respiratory care. As a result, residents, staff and medical equipment were at risk for cross contamination. Finding: 1. […]

• No harm, potential for more than minimal, patternF694Sep 15, 2022

  Based on interview and record review, the facility failed to ensure that 3 of 3 residents (1, 2, and 3) on intravenous (IV) antibiotic therapy had their PICC line monitored per professional standards and facility policy. A PICC line is a peripherally inserted central catheter that provides access to the large vein carrying blood to the heart to administer medication for long-term use. In addition, Resident 1 was discharged home after the completion of IV antibiotic therapy with the PICC line still in place. These failures had the potential to delay the identification of catheter-related complications and increase the risk of infection for these three residents. Findings: 1a. Resident 1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF761Jun 22, 2026

  Based on observation, interview and record review, the facility failed to ensure medications were not left unattended. In addition, the medication cart was left unlocked in one of one (Resident 1) observed for medication storage during an Anonymous complaint investigation. This failure had the potential to affect residents' safety and may lead to drug diversion. Findings.A record review of the facility's undated admission record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included essential hypertension (high blood pressure) and peripheral vascular disease (a slow progressive circulation disorder involving blood vessels outside the heart and brain, commonly affects the legs). […]