Imperial Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Aug 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure infection prevention and control practices were followed when: 1.The suction tubing and Yankauer suction tip (a medical tool used to clear blood, saliva, and other fluids from a patient's mouth and throat during procedures or emergencies) with the change date for two of two sampled residents (Resident 5 and Resident 16) and not keeping the suction tip in a clean covering for Resident 5. 2. Staff did not perform hand hygiene between handling meal trays, and beverages between Resident 24 and Resident 87. 3. […]

• No harm, potential for more than minimal, widespreadF880Jul 16, 2024

  Based on observation, interview, and record review, the facility failed to implement effective infection prevention measures during a Coronavirus Disease outbreak ([COVID-19], an infectious disease that affects a person's organs and tissues that aid in breathing) in the facility. The facility failed to: 1. Minimize Resident 1's exposure to COVID-19. 2. Stock face shields in eight of eight isolation carts (storage unit for personal protective equipment [PPE, protective clothing or equipment designed to protect the wearer's body from infection, such as a gown, gloves, mask, and face shield]) designated for the COVID-19 positive and COVID-19 exposed rooms. 3. Ensure face shields were used by staff members prior to entering Residents 2 and 3 rooms, who were COVID-19 positive. 4. […]

• No harm, potential for more than minimal, widespreadF880Apr 1, 2024

  Based on observation, interview, and record review, the facility did not ensure doors remained closed to residents' rooms that tested positive for COVID-19 (highly contagious respiratory disease) for five of five sampled residents (Resident 6, Resident 7, Resident 8, Resident 9, and Resident 10). This deficient practice had the potential to expose all residents, staff, and visitors to COVID-19. Findings: a. During a review of Resident 6's Admission Record, dated 4/2/2024, the admission record indicated Resident 6 was initially admitted to the facility on [DATE] and readmitted on [DATE] with the following diagnoses which included COVID-19, muscle weakness, acute kidney failure (the sudden and rapid loss of kidney's ability to filter waste and balance fluid in blood), type 2 diabetes… […]

• No harm, potential for more than minimal, patternF803Aug 27, 2026

  Based on observation, interview, and record review, the facility failed to follow the standardized recipe for Spinach Au Gratin for five of five sampled residents (Residents 2, Resident 6, Resident 7, Resident 10 and Resident 98). This deficient practice had the potential for affecting the resident's meal satisfaction and risk for weight loss.Findings: During a review of Resident 2's admission Record, the admission Record indicated the facility admitted the resident on 6/5/2018 and was readmitted on [DATE] with diagnoses including diabetes mellitus (DM - a disorder characterized by difficulty in blood sugar control and poor wound healing), muscle weakness (loss of muscles strength), hypertensive chronic kidney disease and anemia a condition where the body does not have enough healthy red… […]

• No harm, potential for more than minimal, patternF812Aug 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure opened and frozen bag of mixed vegetables and frozen turkey meatballs were covered and sealed. These deficient practices had the potential to place 90 of 96 medically compromised and vulnerable residents who received food from the kitchen at risk for compromised food integrity and contamination.Findings:During a concurrent observation and interview on 8/24/2026 at 8:15 a.m. with the Dietary Supervisor (DS), in the kitchen, observed an opened bag of turkey meatballs in the freezer, not fully closed. An opened bag of mixed vegetables was observed in the freezer, not fully closed. […]