Lompoc Skilled Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Aug 18, 2023

  Based on observation, interview, and record review, the facility failed to properly implement infection prevention and control practices according to recognized guidelines when: 1. Personal protective equipment (PPE - gowns, gloves, masks, and face/eye protection to protect body from injury or infection) supplies required during contact with residents placed on Enhanced Standard/Barrier Precautions [ESBP - an infection control intervention to reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes and involve gown and glove use during high-contact resident care activities] were placed inside the room in close proximity to the residents. 2. […]

• No harm, potential for more than minimal, isolatedF761Jul 3, 2026

  Based on observation, interview, and record review, the facility failed to ensure expired medications, biologicals or supplies were properly disposed of and not readily available for use and unlabeled prepared medications were not stored in the medication cart. These failures may pose a significant risk to residents' health and safety by potentially exposing them to ineffective treatments or therapies and medication errors.Findings: During an inspection of the facility's Station A treatment cart on 7/1/26 at 8:38 a.m., the following expired items were found: Puracol Ultra Powder Collagen Dressing (a dressing sprinkled directly to the wound which maintains a moist environment and promotes natural tissue growth) (expired 5/31/26), and Skintegrity ECO Paraben-Free Hydrogel (a water-based gel… […]

• No harm, potential for more than minimal, isolatedF658Jun 23, 2025

  Based on interview and record review, the facility failed to follow its facility policy to re-weigh residents with a five percent (5%) or greater weight loss and immediately notify the Registered Dietician (RD) in writing for one (1) of three (3) sampled residents (Resident 1). This failure resulted in Resident 1's increased weight loss, worsening malnutrition (not getting enough healthy food or nutrients), delayed medical treatment, and adverse consequences as evidenced by slower healing of pressure sores. Findings: Review of [NAME] and [NAME], 7th Edition, Mosby's Fundamentals of Nursing, page 243 in the section titled, Data Documentation indicates, Observation and recording of client status is a legal and professional responsibility. […]

• No harm, potential for more than minimal, isolatedF880Jun 23, 2025

  Based on record review, observation, and interview, the facility failed to ensure standard and transmission-based precautions were followed to prevent the spread of infections when: 1. A Foley catheter bag (urine collection bag) was not touching the floor in one of three residents (Resident 1). 2. Staff didn't follow handwashing protocol per infection control standards to provide hand hygiene to one of three sampled residents (Resident 1) and one unsampled resident (Resident 2) before serving lunch meal trays. These facility failures had the potential to transmit and spread infection to residents, visitors, and staff. […]

• No harm, potential for more than minimal, isolatedF554Feb 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of five sampled residents, (Resident 62), self-administration of medication was with interdisciplinary team (IDT- healthcare professionals from different specialties working together to provide patient care) approval and determination as clinically safe and appropriate. This failure had the potential for Resident 62 to unsafely self-administer medication. Findings: During a concurrent observation and interview on 2/19/25 at 9:47 a.m., with Resident 62, a rescue inhaler labeled Atrovent HFA (medication that relaxes muscles in the airways, 17 mcg (microgram -unit of measure) was observed inside Resident 62's bedside table drawer. […]