La Bahia Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at La Bahia Nursing & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF759Feb 12, 2026

  Based on observation, interview and record review the facility failed to ensure that a medication error rate was not 5 percent or greater. The facility had a medication error rate of 17.65%, based on 6 errors out of 34 opportunities, which involved 3 of 6 residents (Residents #5, #25 and #43) and 1 of 4 staff (DON) reviewed for medication administration reviewed for medications errors. The facility failed to ensure the DON administered medications to Residents #5, #25 and #43 timely and according to physician order. This deficient practice could place residents at risk of not receiving therapeutic effects of their medications and possible adverse reactions.The findings include: 1. A record review of Resident #5's admission record, dated 2/12/2026, revealed an admission date of 12/25/2025. […]

• No harm, potential for more than minimal, patternF880Feb 12, 2026

  Based on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 8 residents (Residents #10, #22 and #36) and 1 of 1 facility (the facility) reviewed for infection prevention and control measures. 1. The facility failed to ensure CNA C cleaned the urinary collection tube from Resident #10s indwelling catheter.2. The facility failed to ensure CNA C did not place Resident #10's urinary collection bag on the bed and on the floor.3. […]

• No harm, potential for more than minimal, patternF607Oct 6, 2023

  Based on interview and record review, the facility failed to implement their written policies and procedures that prohibited and prevented abuse, neglect, and exploitation of residents for 3 of 26 staff (CNA E, Hskg F, LVN G) reviewed for abuse and neglect, in that: The facility failed to implement their abuse policy when a criminal background check and the EMR was not completed prior to their hire dates for CNA E, Hskg F and LVN G. These deficient practices could place residents at risk for abuse and neglect. The findings were: Record review of facility policy titled Abuse/Neglect, revised 03/29/2018 which read A. Screening: Criminal History and Background Checks. […]

• No harm, potential for more than minimal, patternF730Oct 6, 2023

  Based on interview and record review, the facility failed to conduct a performance review at least once every 12 months and provide regular in-service education based on the outcome of these reviews for 5 of 7 CNA's (CNA B, CNA C, CNA D, CNA H and CNA J) reviewed for performance reviews, in that: The facility failed to conduct performance reviews at least every 12 months for CNA B, CNA C, CNA D, CNA H and CNA J This failure could result in residents not receiving the necessary care and services due to nurse aides not receiving training based on their performance review outcome. The findings were: 1. Record review of the Staff Roster, dated 10/03/2023, revealed CNA B was hired on 03/01/2021. […]

• No harm, potential for more than minimal, patternF761Oct 6, 2023

  Based on observation, interview, and record review, the facility failed to ensure all drugs and biological were stored in locked compartments for 1 of 1 medication room reviewed for storage, in that: Controlled medications were not kept in a separate, permanently affixed compartment in the medication room. This deficient practice could place residents at risk of misappropriation of medications. The findings were: Observation in the medication room on 10/05/23 at 10:40 AM revealed a miniature fridge with a locked padlock. The front of the fridge was made of tinted glass. Inside the fridge were different insulin pens, too numerous to count, and two 30 ml bottles of lorazepam 2 mg/ml. […]