La Casa Via Transitional Care Center

In the surveyor’s words

From the most serious findings on record at La Casa Via Transitional Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on observation, interview, and record review the facility failed to ensure one of one ice machines was clean. This failure practice could be result in illnesses and infections. Findings: During a concurrent observation and interview on 6/2/25 at 12:10 p.m., with the Maintenance Supervisor (MS) and Dietary Supervisor (DS), who were present in the ice machine room, inside the ice machine tray was wiped with a clean, white wipe. There was black residue on the wipe after wiping the inside of the ice machine. The black residue was confirmed by MS and DS. DS stated he checks and cleans the machine every month for maintenance, and cleans the machine as needed, DS stated he is not cleaning the machine every day or every week routinely. […]

• No harm, potential for more than minimal, patternF695Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for two of 31 sample selected residents (Residents 10 and 11), when: 1. Resident 11 did not receive the oxygen rate based on physician order. 2. Resident 10's oxygen tube was not replaced weekly and the oxygen's humidifier was not replaced when it was empty. These deficient practices had the potential to result in oxygen toxicity for Resident 11 and for Resident 10 to potentially develop respiratory complications. Findings: 1. […]

• No harm, potential for more than minimal, patternF803Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to follow posted menu when: 1. On 11/28/23, during lunch meal: - Pot stickers were not served as a garnish according to the menu. - Salad plates were provided which was not on the menu. 2. Resident 47 and Resident 140 stated menu was not routinely followed as listed. These failures had the potential for served meals to not meet the nutritional needs of the residents who received food from the kitchen. Findings: 1. During a concurrent interview and record review on 11/28/23, at 9:45 a.m., with the Food Services Director (FSD), facility's undated dietary document Fall Menu Week 3, was reviewed. […]

• No harm, potential for more than minimal, patternF805Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to prepare pureed (cooked food that has been ground, pressed, and blended to a consistency of creamy paste) food designed to meet the needs of residents with a specialized diet. This failure had the potential to result in aspiration and choking (inhaling of food and drinks) of medically compromised residents who received pureed food from the kitchen. Findings: During a concurrent observation and interview on 11/28/23, at 12:15 p.m., pureed foods prepared by Cook 2 were on the kitchen steam table. Cook 2 stated he pureed the chicken teriyaki, broccoli, and rice separately by mixing water and thickener to the foods. […]

• No harm, potential for more than minimal, patternF812Nov 30, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions when: 1. In the kitchen pantry, multiple opened gallon containers of liquid condiments did not have opened dates. 2. Freezer 1 contained three sealed boxes of meat stored without labels. 3. A dietary staff entered the kitchen without a hairnet. 4. Ice machine interior was unclean. 5. Ice Machine Room door was left open and accessible to unauthorized persons. 6. Resident Food Refrigerator inside Station 1 Medication Room was not cleaned routinely and freezer compartment at Station 1, had ice build-up. These failures had the potential to result in food contamination and resident foodborne illnesses. Findings: 1. […]