La Dora Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at La Dora Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in thefacility's only kitchen. The facility failed to ensure food items were labeled, dated, and sealed properly in stand-by refrigerator 1 of 2.The facility failed to ensure food items were labeled, dated, and sealed properly in all 2 stand-by freezers. These failures could have affected residents by placing them at risk for cross-contamination and foodborne intoxication.Findings included: Observation on 04/22/26 at 9:14 AM reflected smoked sausage in a metal bowl covered with foil, removed from its original package, with no label and no use-by date in refrigerator 1. […]

• No harm, potential for more than minimal, patternF761Feb 13, 2025

  Based on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored in locked compartments for two of three medication carts (Nurse med carts #1 and #2) in that: LVN B left Nurse Med Cart #1 unlocked and unattended on 02/11/25 and on 02/12/25. LVN C left six medications on top of Nurse Med Cart #2 while the cart was unattended and out of the nurse's view on 02/12/25. These failures could place residents at risk of their medications being stolen or misused and health complications related to accidental ingestion of drugs and/or biologicals, including hospitalization . […]

• No harm, potential for more than minimal, patternF812Feb 13, 2025

  Based on observation, interview, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure food items in the refrigerator were dated, labeled, and sealed appropriately. The failure could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination. Findings included: Observations of the facility's kitchen refrigerator on 02/11/2025 at 9:00 AM revealed the following items were not sealed, labeled, or dated with any dates: 1 plastic bag with 7 hardboiled eggs not labeled or dated. 1 large container of hot sauce almost empty not dated. […]

• No harm, potential for more than minimal, patternF880Feb 13, 2025

  Based on observation, interview and record review, the facility failed to maintain an infection prevention and control measure designed to provide a safe, sanitary environment to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents (Resident #44 and Resident #106) reviewed for infection control in that: 1. LVN A failed to sanitize her hands after moving Resident #44's floor mat before touching his bedside table and did she not change her gloves after touching the door, adjusting the bed and touching the privacy curtain before touching Resident #44's G-tube. 2.LVN A, CNA D, and CNA E failed to prevent cross contamination of Resident #44's care items during wound care. 3. […]

• No harm, potential for more than minimal, patternF880Jan 5, 2024

  48520 Based on observation, interview, and record review the facility failed to 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 6 of 14 residents (Residents # 20, #38, #11, #42, #29, and #18) reviewed for infection control. The facility failed to ensure residents with a COVID-19 positive status in the secured unit (Residents #42, #29, and #18) were not cohorted with residents with a COVID-19 negative status (Residents #20, #38, and #11) and that CNA A failed to inform the facility when she did not feel well on 12/21/23 and continued to work on the secured unit prior testing positive for COVID-19. […]