La Frontera Nursing & Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 14, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure that each resident received adequate supervision to prevent accidents for one (Resident #1) of six residents reviewed for supervision.The facility failed to ensure Resident #1 did not eloped from the facility on 07/26/26 that resulted in an abrasion to Resident #1's forehead. The noncompliance was identified as PNC. The IJ began on 07/26/26 and ended on 07/26/26. The facility corrected the noncompliance before the investigation began.This failure could place residents requiring supervision at risk for injury and accidents.The findings included:Record review of Resident #1s face sheet dated 08/13/26 reflected an [AGE] year-old-male with an original admission date of 11/24/25. […]

• Immediate jeopardy, isolatedF689Nov 21, 2024

  Based on observations, interviews, and record review, the facility failed to ensure that each resident received adequate supervision to prevent accidents for one (Resident #1) of one residents reviewed for supervision. The facility failed to ensure Resident #1 received adequate supervision while Resident #1 was unaccounted for approximately 2 hours. On 04/21/2024, Resident #1 eloped from the facility through the employee dining area (formally assisted living dining area) door sometime after 1:00pm. The facility was notified by another local facility located approximately one block away at approximately 2:30 pm, that Resident #1 was brought into their facility after a passerby saw Resident #1 on the sidewalk by the road next to their facility. […]

• No harm, potential for more than minimal, widespreadF838Sep 1, 2024

  Based on interviews and record review, the facility failed to conduct and document a facility-wide assessment to determine what resources were necessary to care for its residents competently during both day-to-day operations and emergencies for 1 of 1 facility reviewed for facility assessment. The facility did not have a completed Facility Assessment specific to cyber-attacks. This failure could place all residents at a risk for a lack of necessary resources and services. Findings Included: During an observation on 08/31/2024 at 11:00AM the facility had multiple resident's MARs and TARs on the conference table, and additionally upon further observation the clinical staff were using paper charting without any use of internet capable devices including computers and/or laptops. […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observation, interviews and record review, the facility failed to ensure the pass out of resident food was done in accordance with professional standards for food service safety for 1 of 10 residents and the storage of food in accordance with professional standards for food service safety1 of 1 unit refrigerators (resident refrigerator RR #1), 1 of 1 resident freezer (resident freezer RF #1) and 1 of 1 resident walk in pantry( walk in pantry WP#1) reviewed for storage, preparation and sanitation. The facility failed to ensure items in the refrigerators were covered and sealed to prevent exposure to air and cause cross contamination. The facility failed to ensure food items in the resident's freezer were covered or sealed to prevent exposure to air and cause cross contamination. […]

• No harm, potential for more than minimal, patternF880Jul 16, 2026

  Based on observations, interviews and record reviews, 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 (Resident #3, Resident #17, Resident #92) of 6 residents reviewed for infection control. 1. The facility failed to implement the required elements for transmission-based precautions (specialized infection control measures used in addition to Standard Precautions for patients known or suspected to be infected with highly transmissible pathogens), including signage for Resident #3. 2. […]