Estrella Health And Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Estrella Health And Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF679Apr 10, 2026

  Based on clinical record review, observations, staff interviews and facility policy, the facility failed to ensure that an individualized on-going program of activities that met the interests and supported the well-being were consistently provided for 2 out of 2 sampled residents (#59 and #134). The universe was 148. The deficient practice could result in resident's interests, the physical, mental and psychosocial well-being, decreased socialization and stimulation not being met.Findings Include: -Regarding Resident #134: Resident #134 was admitted on [DATE] with diagnoses that included Cerebrovascular Disease, Spinal Stenosis, Dysphagia, Cerebral Infarction, Muscle Weakness, and Fusion of the Spine. […]

• No harm, potential for more than minimal, patternF757Apr 10, 2026

  Based on review of clinical records, policy, and staff interviews the facility failed to ensure medications were administered per physician ordered parameters for two out of six sampled residents (Resident #167 and #3) regarding pain medication and medication for hypotension (low blood pressure). The Universe was 66. The deficient practice could result in undesirable medication-induced harm and uncontrolled pain. Finding Includes: -Regarding Resident #167: Resident #167 was admitted into the facility on November 13, 2022, and discharged on December 6, 2022, with diagnoses that included atherosclerotic heart diseases, pain in right shoulder, type II diabetes, depression, muscle weakness, and complete rotator cuff tear or rapture of left shoulder. […]

• No harm, potential for more than minimal, patternF921Oct 11, 2024

  Based on observations, staff interviews and review of facility policy the facility failed to maintain comfortable water temperature to meet resident needs and food within a safe temperature for consumption. The deficient practice could have a negative psychosocial impact on residents. Findings include: The following resident interviews were conducted on October 10, 2024 care services provided in the facility: -Resident #10 stated that there was no hot water in the bathroom. -Resident #3 stated that food is cold not warm. Moreover stated there is no hot water; and that, her last shower was on September 30 because there is no hot water. -Resident #22 at 3:24 pm stated that there was no hot water for couple days. -Resident #30 stated that the soup is usually cold. […]

• No harm, potential for more than minimal, patternF770Sep 17, 2021

  Based on review of facility documents, staff interviews, and the glucometer user guide, the facility failed to act upon glucometer quality control testing results that were out of range. The deficient practice could result in residents having diabetic complications due to wrong glucometer readings. Findings include: Review of the glucometer test logs were reviewed for cart #1 and cart #2 on station 2 with a Registered Nurse (RN/staff #13) on September 15, 2021 at 1:06 PM. The glucometer test log for cart #1 and cart #2 revealed multiple days where the testing results were out of range for the month of September. Continued review of the glucometer logs for cart #1 revealed multiple times the testing results were out of range for the month of August 2021. […]

• No harm, potential for more than minimal, patternF804Sep 17, 2021

  Based on resident and staff interviews, a food test tray, and policy review, the facility failed to ensure food was provided that was palatable and attractive. The deficient practice has the potential for residents who disliked a meal to experience nutritional problems or dissatisfaction with their meals. Findings include: On 9/13/21 at 10:44 AM, one resident stated that the food offered and prepared at the facility does not even look cooked. On 9/13/21 at 12:13 AM, a resident stated that the food tastes terrible, both the Macaroni & Cheese and the alternate bologna sandwich appear un-appetizing. On 9/13/21 at 12:17 AM, a resident stated that the food offered and prepared at the facility appears poor and tastes terrible. A resident council meeting was conducted on 9/16/21 at 10:00 AM. […]