Lodi Creek Post Acute

In the surveyor’s words

From the most serious findings on record at Lodi Creek Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 21, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the 82 residents who received facility prepared meals when:1. An open bottle of vinegar was observed under the food steam table; and,2. An open box of salt was stored where the mouth of the box was taped but a visible gap remained between the tape and the box, leaving the contents partially exposed; and,3. A fish [NAME] (spatula) was found in the clean utensils box with a melted middle section; and,4. Canned goods were found in the dry storage room without expiration dates or a received by dates; and,5. […]

• No harm, potential for more than minimal, patternF880Nov 21, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective Infection Prevention and Control Program for a census of 82 residents when:1. Resident 7's Contact Precautions (a set of measures used to prevent the spread of germs through direct or indirect physical contact) were discontinued without physician involvement, failing to apply Enhanced Barrier Precautions (EBP - Extra safety that healthcare workers take to prevent spreading infections) when indicated,2. Facility staff did not perform hand hygiene during resident care; and,3. […]

• No harm, potential for more than minimal, patternF755Sep 6, 2024

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of a census of 81 residents, when the emergency Kit (E-Kit, limited number of medications for use in an emergency) log was not filled out for two opened E-Kits. This failure increased the potential for the facility to not have the needed medications available during emergencies that could jeopardize residents' health and safety. Findings: During a concurrent observation and interview on 9/4/24 at 10:01 a.m. with Licensed Nurse 3 (LN 3), stations one and two medication storage rooms had three E-Kits with injectable medications (medications to be administered by injection into the vein or muscle) with blue plastic locks. […]

• No harm, potential for more than minimal, patternF761Sep 6, 2024

  Based on observation, interview and record review, the facility failed to ensure medications were labeled, stored, and disposed of consistently according to standards of practice for a census of 81, when: 1. Expired medications were not removed from the medication cart and the medication storage room; 2. Pharmaceutical products were found in the medication storage room and the medication cart without an opened date; 3. Pharmaceutical products with an unclear and torn label was found in a medication cart; 4. Loose medications were found in a medication cup in the first drawer of the medication cart; and, 5. […]

• No harm, potential for more than minimal, patternF812Sep 6, 2024

  Based on observation, interview and record review the facility failed to accurately check and test sanitizing solutions in the kitchen for a census of 81, when: 1. The dishwasher sanitizing solution was not accurately checked for effectiveness; and, 2. The Quatenary Ammonium Compound (QAC; a type of chemical that is used to kill bacteria, viruses, and mold) was not tested at the right temperature and concentration. These failures had the potential to expose residents to foodborne illnesses from improperly sanitized eating utensils served with the residents' meals. Findings: 1. During a concurrent observation and interview with the Registered Dietitian (RD) and the Dietary Aide 1 (DA 1) on 9/4/24 at 1:34 p.m. in the kitchen, the dishwashing activity was observed. […]