Imperial Crest Health Care Center

In the surveyor’s words

From the most serious findings on record at Imperial Crest Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure food safety and sanitary food storage and preparation practices were maintained in the kitchen, by failing to:Ensure one container of Italian dressing was labeled with an opened date and/or use-by date. Maintain cold food items at safe temperatures when three-bean salads measured 57 to 66 degrees Fahrenheit ( F, a scale of temperature) during meal service.Ensure bowls of vanilla mousse were properly immersed in an iced-holding bin or storage, to maintain a safe, cold holding temperatures of 41 F and below during tray line pre-service handling. […]

• No harm, potential for more than minimal, widespreadF880Apr 5, 2024

  Based on observation, interview, and record review the facility failed to: 1. Ensure laundry rubber gloves were properly cleaned and stored after use. This deficient practice of not having the laundry rubber gloves cleaned stored placed the Residents at risk for the spread of infection. 2. Ensure there is a comprehensive water management program in place to prevent Legionella (a bacteria that causes Legionnaires [a severe form of pneumonia - lung infection/inflammation usually caused by infection] and other waterborne pathogens (any organisms or agent that can cause disease) to grow and spread in the facility. This deficient practice had the potential for residents of the facility to contract a waterborne pathogen including Legionella. Findings: a. […]

• No harm, potential for more than minimal, patternF755May 22, 2026

  Based on observation, interview, and record review, the facility failed to ensure one of eleven residents (Resident 49) observed during medication administration (MedPass) was administered Humalog insulin (a fast-acting prescription medication used to lower blood sugar [BS] in people with diabetes- a chronic condition in which the body either does not produce enough insulin [a hormone that removes excess sugar from the blood] or cannot use insulin effectively, resulting in high levels of blood sugar) within 15 minutes of a meal and injection site rotated after each injection, as ordered and in accordance with manufacturer's specifications. […]

• No harm, potential for more than minimal, patternF761Apr 4, 2025

  Based on observation, interview, and record review, the facility failed to: 1). Ensure expired one opened bottle of vitamin B1 (one of the B vitamins) medication was not kept in the medication cart 1. This deficient practice had the potential to result in administering expired medication to the residents with orders. 2). Label with an opened date, the Ipratropium with Albuterol Solution (a combined inhalation solution to treat and prevent shortness of breath) pouch in medication cart 1 for Resident 33, that had a pharmacy fill date of 7/3/2024. 3). Ensure expired one pouch of Ipratropium with Albuterol Solution for Resident 83 was not kept in medication cart 1. […]

• No harm, potential for more than minimal, patternF812Apr 4, 2025

  Based on observation and interview, the facility failed to ensure the juice connectors for the apple, grape, and pineapple juice was free of sticky residue. This deficient practice had the potential to result in cross contamination (movement of bacteria from one place to another) in the kitchen. Findings: During a concurrent observation and interview on 4/2/2025 at 9:20 a.m. with the Dietary Supervisor (DS), the connectors for the apple, grape, and pineapple juice was observed with a sticky substance. […]