Lodi Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Lodi Nursing & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 1, 2024

  The facility failed to store, prepare, distribute and serve food in accordance with professional standards and facility policy for food service when: 1. An Ice machine was not cleaned per manufacturer's guidelines and facility policy. 2. Lunch meal foods were not handled and served safely under sanitary conditions during a trayline observation. 3. Coffee machine water filter was expired for more than 1.5 years. 4. Serving ladles and scoop handles were damaged and not maintained in food safe manner. 5. A Griddle top collection tray cup had black sticky grime, brown stains and food residue inside of it. 6. Curry powder seasoning was out of date and code. 7. Parsley was found to be discolored with a tannish brown color on the leaves and stems. […]

• No harm, potential for more than minimal, patternF761Mar 6, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe medication storage in the medication refrigerator located at Nurse Station 1 for a census of 69 residents when:1. The medication refrigerator was observed with extensive frost buildup and temperature outside the facility's required range per policy; and,2. The facility had not implemented a log or tracking system for routine cleaning and defrosting of the medication refrigerator.These failures had the potential to contribute to unsafe medication storage and use, which could affect the health and well-being of vulnerable elderly residents.Findings: 1.During a concurrent observation and interview on 3/3/26, at 8:35 a.m., in the facility's medication room at Nurse Station 1, accompanied by Licensed Nurse… […]

• No harm, potential for more than minimal, patternF812Mar 6, 2026

  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 when:1. Two water pitchers, multiple spoons, spatulas, a blender, two metal baking sheets, and plates were stored wet, 2. A bag of uncooked pasta did not have a use by date; and, 3. A lunch cart did not have a cover, and two lunch plates in the food delivery cart were not fully covered. These failures had the potential of leading to a food-borne illness (an illness that comes from eating contaminated food) for all 69 residents receiving facility prepared meals.Findings:1a. […]

• No harm, potential for more than minimal, patternF880Mar 6, 2026

  Based on observation, interview, and record review, the facility failed to practice appropriate infection prevention and control measures for a census of 69, when:Resident 86 had perishable food at the bedside that was not consumed or discarded two days after the date,An opened and half-filled single-use skin ointment packet was left on Resident 85's overbed table after being used during incontinent care,Certified Nursing Assistant (CNA) 6 did not wear personal protective equipment (PPE- equipment such as protective clothing, gloves, masks or other garments used to prevent or minimize exposure to hazards) when assisting Resident 93 who was on contact precautions (infection control steps used in a healthcare setting to prevent the spread of germs that are passed by direct contact with a… […]

• No harm, potential for more than minimal, patternF558Nov 1, 2024

  Based on observation, interview and record review, the facility failed to ensure needs were accommodated for 8 of 21 sampled residents (Resident 36, Residents 40, Resident 21, Resident 38, Resident 1, Resident 23, Resident 50, and Resident 39), when: 1. Residents 40, Resident 21, Resident 38, Resident 1, and Resident 39 call light did not work and were not provided alternative means to contact staff, and for Resident 23 and Resident 50 staff did not respond timely to calls made by Resident 23 and Resident 50 who were given and alternative means to contact staff; and 2. […]