Foothill Heights Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF921Jan 25, 2022

  Based on observation, interview and record review, the facility failed maintain to a safe and functional environment for residents, staff and the public regarding the unapproved installation of hot water heaters and light fixtures. This deficient practice of an unsafe and improper functional environment has the potential to have negative effects to the safety, welfare and health of the residents, staff and the public. Findings: On November 1, 2021, at 3:30 p.m., a complaint investigation was conducted regarding the facility installing hot water heaters and light fixtures without proper approval. […]

• No harm, potential for more than minimal, widespreadF921Jul 29, 2021

  Based on observation, interview, and record review, the facility failed to provide a sanitary environment in the facility's kitchen. The kitchen exterior door (delivery door) was a single screen metal door (not a solid metal} and the screen door's left and right bottom sections had more than a one fourth (1/4) inch gap to the floor. This deficient practice had the potential to cause food contamination from dust and vermin (rodents and roaches} to enter the kitchen causing foodborne illnesses (illnesses caused by consuming contaminated foods) prepared in the kitchen that would be served to the facility's residents. […]

• No harm, potential for more than minimal, patternF689Aug 21, 2026

  Based on observation, interview, and record review, the facility failed to prevent multiple falls for one (1) of two (2) sampled residents (Resident 1) who was assessed as at risk for fall in accordance with the facility's policy and procedure (P&P) by failing to:Develop and revise the resident-centered care plan (a care plan developed and implemented to meet her or his preferences and goals, and addressed the resident's medical, physical, mental and psychosocial needs) to address Resident 1's fall risk and underlying cause of fall incidents.Initiate and implement the Falling Star Program (a widely used long-term care safety initiative designed to identify residents at a high risk for falls and prevent injuries) after Resident 1's fall on 5/22/2026.Conduct an interdisciplinary team (IDT- a… […]

• No harm, potential for more than minimal, patternF756May 7, 2026

  Based on interview and record review, the facility failed to ensure the physician reviewed and took timely action on a medication regimen review (MRR, consists of a thorough evaluation of the medication regimen of a resident with the goal of promoting positive outcomes and minimizing adverse consequences and potential risks associated with medication) irregularity (includes, but is not limited to, use of medications without adequate indication, without adequate monitoring, in excessive doses, and/or in the presence of adverse consequences, as well as the identification of conditions that may warrant initiation of medication therapy) identified by the facility's pharmacy consultant for three of five sampled residents (Residents 1, 7, and 9) reviewed for unnecessary medications by failing to… […]

• No harm, potential for more than minimal, patternF812May 7, 2026

  Based on observation, interview, and record review, the facility failed to follow proper food handling practices in accordance with its policy and procedure (P&P) by failing to:a. Label food in the kitchen with item name and use by date (the last date recommended for the use of the product) and/or open date.b. Keep the refrigerator temperature log updated every shift.c. Discard expired food items in the kitchen.d. Ensure kitchen floor was clean and dry when water overflowed from dishwashing machine onto the floor.e. Ensure the ice machine's drainpipe had an air gap (physical separation between a water supply outlet and the flood-level rim of a receiving vessel like a sink or drain). […]