Grossmont Hospital D/P SNF

In the surveyor’s words

From the most serious findings on record at Grossmont Hospital D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jun 20, 2025

  Based on observation, interview and record review, the facility failed to ensure food safety and practices were maintained in the kitchen according to standards of practice and policy when food items were not labeled and dated. These failures had the potential to expose the residents to contaminated food and unsanitary practices and place them at risk of developing foodborne illness. Findings: During a kitchen observation conducted on 6/17/25, with the certified dietary manager (CDM), the following items were observed. 1. In the fresh produce walk-in refrigerator at 8:40 A.M., a box of strawberries and a box of potatoes were observed without a label of date received. The CDM stated that the box of strawberries and box of potatoes should have been labeled but were not. […]

• No harm, potential for more than minimal, patternF812May 24, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was stored and served in accordance with professional standards for food safety when: 1. Spoiled food was stored amongst non-spoiled food inside the walk-in refrigerators; Food was stored without being covered in the refrigeration units; Food was not consistently labeled and dated; The cool-down process (a time sensitive procedure to chill cooked food to a safe temperature range) was not initiated for two trays of cooked chicken. 2. […]

• No harm, potential for more than minimal, patternF881May 24, 2024

  Based on interview and record review, the facility failed to implement an Antibiotic Stewardship Program to monitor antibiotic use. This failure had the potential to increase the risk of adverse events from unnecessary or inappropriate antibiotic use. Findings: A review of Resident 121's untitled facesheet indicated the resident was admitted on [DATE]. On 5/21/24 at 2:41 P.M., an interview was conducted with the infection prevention nurse (IPN) 1. During the interview, IPN 1 was informed of what the survey team would need to review and discuss with her regarding the facility's infection control practices, including antibiotic stewardship, monitoring, and the status of all residents' antibiotic use. On 5/24/24 at 10:42 A.M., a joint interview and record review was conducted with IPN 1. […]

• No harm, potential for more than minimal, patternF812May 18, 2023

  Based on observation, interview and record review, the facility failed to ensure the kitchen staff consistently documented accurate final rinse temperature of the dishwashing machine. As a result, there was a potential the final rinse temperatures were not in the required range. Findings: On 5/16/23 at 8:32 A.M., a concurrent interview and record review of the document titled, Dishwashing/Warewashing Machine Temperature Log was conducted with the Manager of Nutrition Services (MNS) and Kitchen Supervisor (KS) 1. The log indicated the following temperature requirements: Wash 150F, Rinse 160F and Final Rinse 180F. The final rinse temperatures were not consistently documented accurately from 5/1/23. […]

• No harm, potential for more than minimal, isolatedF628Jun 20, 2025

  Based on interview and record review, the facility failed to offer a bedhold (the practice of reserving a resident's bed when they are hospitalized ) for one of three sampled residents (Resident 17). This failure had the potential for Resident 17 to not receive continuity of care. According to the admission Record, Resident 17 was admitted to the facility on [DATE] with diagnoses which included severe asthma (a condition in which the airways become narrow, making it difficult to breathe), and immune deficiency disorder (a disorder which affects the body's ability to fight infections). The admission Record indicated Resident 17 was transferred to acute care (short-term care for severe injuries, illnesses or other urgent medical conditions) on 3/22/25. […]