Feather River Care Center

In the surveyor’s words

From the most serious findings on record at Feather River Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 10, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a system was implemented to alert staff when residents exited the building onto the outside resident patio area. This affected 1 (Resident #26) of 3 sampled residents reviewed for accident hazards. On 09/20/2023 at approximately 3:00 AM, Resident #26 exited the facility without staff's knowledge and sustained a fall. It was determined the provider's non-compliance with one or more requirements of participation had caused or was likely to cause, serious injury, harm, impairment, or death to a resident. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.25(d) Accidents, at a scope and severity of J. […]

• No harm, potential for more than minimal, widespreadF880Mar 21, 2025

  Based on observation, interview, and record review, the facility failed to provide a safe and sanitary environment when: 1a. Certified Nurse Assistant (CNA) I wore the same isolation gown (worn over clothing and used to prevent the spread of infection) while providing care to Resident 24 (who was diagnosed with Clostridium difficile, C-diff, a bacterium that caused diarrhea, was spread from person to person by direct contact, could cause serious illness, hospitalization , or even death) and Resident 23 (who was not diagnosed with C-diff); and 1b. There was no dedicated cleaning equipment for Resident 24's bathroom; and 2. The nurse's station counter was chipped and not able to be disinfected. These failures had the potential to spread infection. Findings: 1a. […]

• No harm, potential for more than minimal, widespreadF880Feb 7, 2024

  Based on observation, interview and record review, the facility failed to ensure that the laundry practices were implemented, and handled and processed in a safe and sanitary manner when numerous bags of soiled laundry were observed to be overflowing the laundry room and stored inside a broken dryer. This failure had the potential to spread disease and infection throughout the facility. Findings: During a review of the facility ' s policy titled, Policies and Practices - Infection Control, revised 10-2018, indicated: 1. This facility ' s infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of disease and infections. 2. […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observation, interview and record review, the facility failed to ensure that food was stored, prepared and distributed in accordance with professional food safety standards when: 1. The kitchen was not sanitary. 2. Staff were not wearing aprons. 3. Fixed equipment (equipment that cannot be cleaned in the dish washer or in the three-compartment sink) was not washed and rinsed prior to sanitizing. 4. Food was not stored, labeled, dated or discarded appropriately. 5. Nutrition supplements stored on medication carts and distributed by nursing during medication administration were not monitored for safe temperatures, stored or discarded within food safety guidelines. 6. The ice machine was not sanitary. 7. […]

• No harm, potential for more than minimal, widespreadF813Jul 15, 2021

  Based on interview and record review the facility failed to ensure a system was in place to help residents, their families and other visitors understand safe food handling practices for food brought in from outside sources. This failure has the potential to increase the risk of foodborne illness for residents receiving food brought in by their families or others. Findings: A review of the undated facility policy titled Food: Safe Handling for Foods from Visitors directs staff how to handle food safely after it is brought in, but there is no indication safe food handling education is provided to residents or their family members regarding food they bring to the resident. […]