La Grande Post Acute Rehab

In the surveyor’s words

From the most serious findings on record at La Grande Post Acute Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observation, interview and record review it was determined the facility failed to ensure kitchen equipment was clean and sanitary, and dishes were adequately cleaned for 1 of 1 kitchen reviewed. This placed residents at risk of illness and contaminated food. Findings include: The facility's Sanitation Policy dated 10/2008 indicated the following:- Utensils, counters, shelves, and equipment are kept clean, maintained in good repair and are free from breaks, corrosions, open seams, cracks, and chipped areas. The facility's Dishwashing Policy dated 10/2/20 indicated the following:- The person assigned to dishwashing should allow all items to air dry prior to storage.1. […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observation, interview and record review it was determined the facility failed to maintain hygienic conditions in the facility's walk-in freezer and failed to store food in a hygienic manner in the freezer and dry storage rooms to maintain freshness and prevent the spread of food-borne illness in 1 of 1 kitchen reviewed for food storage. This placed residents at risk of food-borne illness and cross contamination. Findings include: The facility's October 2017 Food Storage policy indicated: -Food storage areas are to be kept clean at all times; -Dry bulk foods are to be stored in seamless plastic or metal bins with tight-fitting lids; and -Items stored in the freezer are to be kept on shelving above the floor. […]

• No harm, potential for more than minimal, patternF755Feb 13, 2025

  Based on observation, interview and record review it was determined the facility failed to ensure a system of accurate reconciliation to account for controlled drugs for 1 of 2 sampled medications carts reviewed for medication storage. This placed residents at risk for misappropriation and misplacement of controlled drugs. Findings include: The facility's 1/2023 Storage of Medication and Controlled Medication Storage Policy & Procedure specified the following: - Medications included in the Drug Enforcement Administration Classifications as controlled substances were subject to special handling, storage, disposal and record keeping. A controlled medication accountability record is prepared when receiving inventory of a schedule 2 medication. […]

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

  StaBased on observation, interview and record review it was determined the facility failed to ensure drugs and biologicals were secure for 1 of 1 treatment cart and stored under proper temperatures for 1 of 1 medication refrigerator reviewed for medication storage. This placed residents at risk for misappropriation and reduced medication efficacy. Findings include: The facility's 1/2023 Storage of Medication and Controlled Medication Storage Policy & Procedure specified the following: - Medications and biologicals were stored properly to support safe effective drug administration. - Medications requiring refrigeration or temperatures between 36 degrees F and 46 degrees F were kept in a refrigerator with a thermometer to allow temperature monitoring. […]

• No harm, potential for more than minimal, patternF584Oct 6, 2023

  Based on observation, interview and record review it was determined the facility failed to ensure a clean, homelike environment for 1 of 1 facility reviewed for environment. This placed residents at risk for an environment that was not homelike. Findings include: On 10/2/23 between the hours of 12:10 PM and 2:52 PM the following environmental issues were observed: - room [ROOM NUMBER]'s walls had multiple thick gouges where the paint and sheet rock were missing and the plastic window blinds were broken and bent; - room [ROOM NUMBER]'s floor was sticky with built-up dark debris along the baseboard, the walls were scraped and gouged and the vertical blinds had missing slats; - room [ROOM NUMBER]'s large window had multiple strips of black, white and green tape adhered to various parts… […]