La Jolla Post-Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF814Apr 24, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure the dumpster area was clean and the dumpster lid was closed. This had the potential to affect all 140 residents who resided in the facility. Findings included: A facility policy titled, Environmental Maintenance - Grounds Maintenance effective 08/2014, indicated Purpose To define the procedure for inspecting the grounds and performing corrective maintenance as needed. The policy specified, 5. Visually inspect dumpster areas for any unsafe or unsanitary conditions. 6. […]

• No harm, potential for more than minimal, patternF584Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure resident rooms were maintained at a comfortable temperatures for five out of ten sampled residents.This failure had the potential to affect the comfort and well-being of the residents in the affected rooms.Findings:A review of Resident 1's undated admission Record indicated Resident 1 was admitted on [DATE] with diagnoses which included anemia (define) and generalized muscle weakness.A review of Resident 1's Minimum Data Set (MDS- a federally mandated assessment tool), dated 7/6/26, indicated Resident 1 had a Brief Interview for Mental Status (BIMS- a tool to assess cognition, or thinking skills) of 9 which indicated moderate cognitive impairment.A review of Resident 2's undated admission Record indicated… […]

• No harm, potential for more than minimal, patternF638Apr 24, 2025

  Based on interview, record review, document review, and facility policy review, the facility failed to complete a quarterly Minimum Data Set (MDS) for 10 (Residents #7, #21, #24, #27, #44, #55, #83, #94, #102, and #130) of 11 sampled residents reviewed for resident assessment. Findings included: A facility policy titled, MDS Standard of Practice, dated 01/2024, revealed, MDSs are transmitted within the timeframe's set forth in the CMS [Centers for Medicare & Medicaid] RAI [Resident Assessment Instrument] MDS 3.0 Manual. […]

• No harm, potential for more than minimal, patternF761Apr 17, 2024

  Based on observation, interview, and record review, the facility failed to ensure three of six residents' (Resident 1, 2, and 3) medications were stored securely when: -Resident 1's medications were observed at the resident's bedside. -Resident 2 and 3 reported their medications were left at their bedsides. These failures had the potential for residents to receive the wrong medication and/or incorrect dosage which may cause clinically significant adverse consequences. Findings: A review of Resident 1's Admission Record indicated the resident was admitted to the facility on [DATE]. A review of Resident 2's Admission Record indicated the resident was readmitted to the facility on [DATE]. A review of Resident 3's Admission Record indicated the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF880Jan 10, 2024

  Based on observation, interview, and record review the facility failed to follow infection control standards of practices when: 1. The Treatment nurse 1 (Tx LN 1) did not disinfect hands after removing gloves three out of six times while providing wound care for Resident 6. 2. Tx LN 1 did not disinfect scissors for two of two wound dressing changes for Resident 6. 3. One of three common resident shower rooms (shower between Station 1 and Station 2) was not cleaned after use. 4. Oxygen tubing was undated and was in contact with the floor for one of one resident (Resident 7). 5. […]