Linda Mar Care Center

In the surveyor’s words

From the most serious findings on record at Linda Mar Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Jan 27, 2025

  Based on interview, and record review, the facility failed to ensure the Certified Dietary Manager (CDM), the position responsible for supervision of daily food service operations, was fully qualified when he did not have a dietetics manager's certification prior to assuming his full-time duty at the facility. This failure was likely to result in inadequate supervision of the dietary department for 42 residents who ate food from the kitchen out of a census of 42. Findings: State of California Health and Safety Code 1265.4(b)(4) describes the required qualifications for the full-time Dietetic Service Supervisor (DSS). […]

• No harm, potential for more than minimal, widespreadF880Nov 8, 2023

  Based on interviews and facility policy review, the facility failed to implement the Legionella (a bacteria found naturally in [NAME] environments that could cause health concerns when it grew and spread in a building water systems) Water Management Program to prevent, detect, and control the spread of Legionnaire's disease (a form of atypical pneumonia caused by the bacteria Legionella; signs and symptoms usually include cough, shortness of breath, high fever, muscle pain, and headaches). […]

• No harm, potential for more than minimal, widespreadF812May 6, 2021

  Based on observations, interview and record review, the facility failed to serve food in accordance with professional standards for food service safety when: Two (2) of five(5) dietary staff did not wear appropriate hair restraints e.g. hairnet, hat and/or beard restraint to prevent hair from contacting food. This failure had the potential to cause food borne illness to 42 residents who received food from the kitchen out of the facility census of 42. Findings: During the initial kitchen observation on 5/3/21, at 10:27 am, Dietary Supervisor 1 (DS1) was at the food preparation area. DS1 had a cap (brimless head covering) on, partly covering his head, his hair above the nape and behind his ears were exposed, part of his beard exposed outside his face covering. No beard restraint. […]

• No harm, potential for more than minimal, widespreadF867May 6, 2021

  Based on interview and record review, the facility failed to implement their Quality Performance Improvement(QAPI)program when: 1. There is no evidence the QAPI committee regularly review and analyze data collected under the QAPI program. 2. There is no evidence of established measures to track effectivity, corrective actions and monitoring of events to assure that programs improvements were sustained. This failure had the potential to cause systemic failures affecting outcomes of care and quality of life for all residents. Findings: During an interview on 5/6/21 at 11:16 am, with Director of Nursing (DON), the DON stated, they track process during rounds to find out if the issue had been fixed and they do not always write once the problem was corrected. […]

• No harm, potential for more than minimal, patternF887Jan 27, 2025

  Based on interview and record review, facility failed to ensure that the resident or the resident representative was provided education about the benefits, risks, and potential side effects associated with the COVID-19 (an infectious virus) vaccine in 4 out of 5 sampled residents (Resident 16, 12, 142 and 92) This failure has the potential for residents to accept vaccination without fully informed consent or decline vaccination due to a lack of knowledge about the COVID-19 vaccine. […]