Los Banos Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 21, 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. An unopened package of coconut flakes with a best by date of 7/7/26 was observed in the dry storage room.2. Tomatoes in reach in refrigerator C were observed with white, grey, and black discoloration to the outside skin. These failures had the potential to cause cross contamination (the process by which germs are unintentionally transferred from one substance or object to another, with harmful effect) and the growth of microorganisms (a microscopic organism, especially a bacterium, virus, or fungus) that harbor foodborne pathogens (a bacterium, virus, or other microorganism that can cause disease) of… […]

• No harm, potential for more than minimal, widespreadF727Aug 8, 2025

  Based on interview and record reviews, the facility failed to ensure a Registered Nurse (RN) provided services for at least 8 consecutive hours a day for eight (5/3/25, 5/10/25, 5/31/25, 6/22/25, 6/24/25, 6/28/25, 7/6/27, 8/3/25) of 90 days sampled. This failure had the potential to result in residents not receiving services required to be provided by an RN . During an interview on 8/6/25 at 3:46 p.m. with the Staff Coordinator (SC), the SC stated no registered nurses (RN)were on working on 5/3/25, 5/10/25, 5/31/25, 6/22/25, 6/24/25, 6/28/25, 7/6/27, 8/3/25. The SC stated she was not responsible for making the schedule for the registered nurses. The SC stated the Director of Nurses (DON) was responsible for the nurse's schedule. During an interview on 8/7/25 at 4:33 p.m. […]

• No harm, potential for more than minimal, widespreadF801Aug 8, 2025

  Based on interview, and record review, the facility failed to ensure 58 out of 58 sampled residents had complete nutrition-focused physical exams (NFPE) completed when RD did not follow current standards of practice and the facility's job description titled, Registered Dietitian Nutritionist when she was a part-time remote employee.These failures resulted in incomplete nutrition-focused physical exams and placed residents at risk to not be accurately assessed by identifying nutritional needs.Findings: During an interview on 8/6/25 at 1:03 p.m. with the Dietary Services Manager (DSM) the DSM stated the RD was working remotely and came to the facility one time a month. The DMS stated the RD was not available in person and was available by phone or email. […]

• No harm, potential for more than minimal, widespreadF802Aug 8, 2025

  Based on observation, interviews and record review, the facility failed to ensure Dietary [NAME] (DC) 1 was competent to carry out the functions of the food and nutrition services safely and effectively for 55 of 58 residents who received food from the kitchen when DC 1 could not demonstrate recalibration of the kitchen a thermometer according to the facility's policy and procedure (P&P) title, Thermometer Use and Calibration. This failure resulted in the facility to serve and prepare food without the food temperature taken on a calibrated thermometer for residents who obtained food from the kitchen and had the potential to cause foodborne illness (caused by consuming contaminated foods or beverages). Findings: During an observation and interview on 8/5/25 at 9:10 a.m. […]

• No harm, potential for more than minimal, widespreadF812Aug 8, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe, sanitary food preparation, and storage practices were followed for 55 of 58 sample residents when:1.There was not an air gap (an unobstructed vertical space between the water outlet and the flood level of a fixture), under the food preparation sink. This failure had the potential to result in residents being exposed to contaminated water which could ultimately result in residents getting food born illness.2. A bin of dried macaroni pasta, an open bag of sausage, an open bag of tortillas and a prepared fruit salad were not labeled with open or used by date.3. […]