Escondido Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF656Jul 2, 2026

  Based on interviews and record reviews, the facility failed to develop a care plan (detailed plan with information about a resident's treatment, goal, and interventions) for: 1. The care of resident's medication (Resident 1), 2. The care of a resident's medication (anticoagulant, blood thinner medications) and its side effects (Resident 84),3. The residents' refusal to nail care (Residents 22 and 36). As a result, the lack of a resident centered care plan with specific interventions had the potential to result in delayed care, miscommunication among caregivers, and a decreased physical well-being of the residents. […]

• No harm, potential for more than minimal, patternF677Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to provide routine nail care to four of five residents (Resident 205, 22, 31, and 36), reviewed for Activities of Daily Living (ADL, activities related to personal care/ hygiene) for dependent residents. As a result, the residents' nails were long, with brown matter underneath the fingernails and were at risk for skin injury and infection. Cross Reference: F 656 Findings: 1.Resident 205 was admitted to the facility on [DATE], with diagnoses which included generalized muscle weakness, per the facility's admission Record. […]

• No harm, potential for more than minimal, patternF880Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe infection control practices when: 1. A urinary catheter (a tube inserted into the bladder to aide in urine flow) bag and dignity bag (a bag used to cover and conceal contents inside) was lying on the floor for two of three residents reviewed for urinary catheter care (Residents 2 and 145).2. Blankets and linens were stored damp and cold. In addition, trash and gloves were found in the clean linen room and closets.3. Flying insects were found in the dining area during residents' mealtime. These failures had the potential for cross contamination (spread germs and bacteria) and infection. Cross Reference: F 690 Findings: 1a. […]

• No harm, potential for more than minimal, patternF625Dec 20, 2024

  Based on interview and record review, the facility failed to notify residents and their representatives of the facility bed hold policy for four of four residents reviewed for notifications regarding bed holds before or as soon as possible after transfer to hospital. This failure had the potential for psychological harm related to uncertainty if the resident could return when their condition improved. Findings: Resident 2 was admitted to the facility on [DATE] with health conditions including osteomyelitis (infection of the bone) of right tibia and fibula (lower leg bones); diabetes type 2 (a chronic disease of the body not producing insulin, causing high blood sugars), according to her Admission Record. […]

• No harm, potential for more than minimal, patternF921Aug 9, 2023

  Based on observation, interview, and record review, the facility failed to routinely check and record resident room temperatures, resident bathroom water temperatures, call lights, and resident equipment. This failure had the potential for residents to be uncomfortable or at risk for accidents related to unidentified hazards. Findings: On 8/4/23 an unannounced visit was made to the facility due to a complaint of hot, uncomfortable resident room temperatures within the facility. The hallway temperature thermometers read 72 degrees Fahrenheit (F). Standing electrical fans were in the hallway of Station 3 and a portable air conditioning unit was in the north hallway of Station 3. On 8/4/23 at 2:02 P.M., an interview was conducted with Resident 4 outside of her room. […]