La Paz Geropsychiatric Center

In the surveyor’s words

From the most serious findings on record at La Paz Geropsychiatric Center, in the surveyor’s own words.

• Actual harm, isolatedF692Oct 24, 2025

  Based on observation, interview and record review, the facility failed to ensure the resident did not sustain unplanned severe weight loss (a weight loss greater than 5 % in one month, greater that 7.5% in three months and greater than 10 % in 6 months) of 37 pounds ([lbs. unit of measurement] 24 percent [%] in five months for one of three sampled residents (Resident 8). The facility failed to: 1. Ensure Resident 8 weigh was taken from 5/2025 through 8/2025 as ordered by the physician to identify the resident's significant weight loss in accordance with the facility's policy and procedure (P&P) titled, Notification of Physician/Prescriber, dated 10/20/2025 which indicated It is the policy of the facility to obtain height and weight upon admission and to continue to monitor the weight of… […]

• No harm, potential for more than minimal, widespreadF812Oct 24, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper food handling practices were followed. The facility failed to ensure that a dietary aide washed her hands and wore a hairnet before entering the food preparation area after coming from outside. This deficient practice had the potential to result in food contamination and increase the risk of foodborne illness (illness caused by food contaminated with bacteria, viruses, parasites, or toxins) among residents.Findings: During a tray line (system of food preparation, used facility, in which trays move along an assembly line) observation on 10/22/2025 at 11:32 a.m., a Dietary Aide (DA) was observed standing in the kitchen food preparation area holding a cup with a straw in her hand. […]

• No harm, potential for more than minimal, widespreadF561Oct 18, 2024

  Based on interview and record review, the facility failed to ensure 9 out of 62 residents (Resident 3, Resident 7, Resident 14, Resident 15, Resident 16, Resident 21, Resident 81, Resident 107, and Resident 128) who were a smokers continue to smoke in an area that maintains the quality of life for these residents. The facility failed to: 1. Follow facility's policy and procedure (P&P) titled Smoking Policy for Skilled Nursing Facilities approved on 1/31/2024, which indicated Smoking is recognized as a privilege and the facility will adhere to all city, state, and federal regulations. If the facility changes its policy to prohibit smoking, the facility will allow current residents who smoked to continue smoking in an area that maintains the quality of life for these residents. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation interview and record review the facility failed to: a. Ensure expired bagels were removed from shelfs. b. Ensure the floor in the kitchen all along the walls and in the corners was free from food crumbs and dirt build up. c.Ensure the drain face plate used for multiple kitchen equipment (ice machine, freezer, and coffee machine) was clean and free from blackish greenish slimy substance. These failures had the potential to expose residents to food-borne illnesses (any illness resulting from ingestion of food contaminated with bacteria, viruses, or parasites) and put residents at risk for cross contamination (unintentional transfer of harmful bacteria from one object to another). Findings: a. […]

• No harm, potential for more than minimal, widespreadF867Oct 18, 2024

  Based on interview and record review, the facility's Quality Assurance Performance Improvement (QAPI, a data driven proactive approach to improvement used to ensure services are meeting quality standards) failed to maintain and develop an effective plan of action to correct an identified and potential problems by failing: 1. To provide an effective oversight of the facility and implementation of the facility's plan of correction (POC) of the deficient practice regarding abuse reporting and call lights accessibility for residents from the previous recertification survey. 2. […]