Greenfield Care Center of Fullerton, LLC

In the surveyor’s words

From the most serious findings on record at Greenfield Care Center of Fullerton, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Oct 29, 2021

  Based on observation, interview, medical record review, facility P&P review, and facility document review, the facility failed to maintain the infection control practices to help prevent the development and transmission of diseases and infections. * The facility failed to show documentation of the Legionella (a bacteria that can cause a serious type of lung infection) facility risk assessment and Legionella testing protocols. * The facility failed to ensure the trash bin and laundry hamper were available for used gloves and used washable gowns in Resident 39's room, who was on isolation precautions. * LVN 3 failed to perform hand hygiene while providing wound care to Resident 26. * LVN s 5 and 6 failed to perform hand hygiene during medication administration. […]

• No harm, potential for more than minimal, patternF684Apr 2, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to provide the necessary treatment and services to maintain the highest practicable well-being for three of three sampled residents (Residents 1, 2, and 3). * The facility failed to ensure Resident 1, 2, and 3's change of conditions was monitored every shift for at least 72 hours. These failures had the potential to negatively affect the residents' health and well-being and risk of not providing the residents with appropriate and individualized care.Findings: Review of the facility's P&P titled Change of Condition dated 4/2025 showed the following:- Licensed nurses will contact the primary physician (alternate physician or Medical Director) of resident status as soon as possible when there is a… […]

• No harm, potential for more than minimal, patternF812Sep 6, 2024

  Based on observation, interview, and facility document review, the facility failed to ensure the ice machine was cleaned and sanitized according to the manufacturer's instructions. This failure posed the risk of the residents contracting the illnesses from the ice served to them. Findings: Review of the facility matrix showed 93 of 93 residents residing in the facility received food prepared in the kitchen. On 9/3/24 at 0951 hours, a concurrent observation, interview, and facility document review was conducted with the Maintenance Director. The facility was equipped with one ice machine. When asked about cleaning and sanitizing the ice machine, the Maintenance Director showed an inner panel on the ice machine containing the instructions on how to clean and sanitize. […]

• No harm, potential for more than minimal, patternF880Sep 6, 2024

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to maintain the infection control practices to help prevent the development and transmission of diseases and infections. * The facility failed to plan and implement the control measures to prevent the growth of the Legionella (a bacteria that can cause a serious type of lung infection) in the facility's water system. * The facility failed to ensure LVN 2 performed hand hygiene in between glove change while providing wound care to Resident 486. These failures had the potential for the spread of infection in the facility. […]

• No harm, potential for more than minimal, patternF812Oct 29, 2021

  Based on observation, interview, and facility document review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen. * The facility failed to ensure labeling and dating of foods in the refrigerator and open storage area used for resident food. * The facility failed to air dry equipment. * The facility failed to ensure the kitchen utensils had a smooth cleanable surface. These failures had the potential to cause foodborne illnesses in a medically vulnerable resident population who consumed food prepared in the kitchen. Findings: Review of the form CMS-672 Resident Census and Conditions of Residents completed by the facility dated 11/2/21, showed 90 of 92 residents residing in the facility received food prepared in the kitchen. 1. […]