Menlo Park Post Acute

In the surveyor’s words

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

• Actual harm, isolatedF600Feb 22, 2022

  Based on interview and record review it was determined the facility failed to ensure residents were free from physical abuse for 1 of 7 sampled residents (#28) reviewed for abuse. This failure resulted in Resident 28 sustaining a broken jaw, which required surgery and necessitated a diet texture modification, after the resident was struck by another resident. Findings include: Resident 28 admitted to the facility in 3/2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Resident 28's 4/1/21 care plan indicated the resident required extensive assistance with ambulation, bathing, bed mobility, dressing, grooming, toileting, and transferring. Resident 28's 7/8/21 Quarterly MDS indicated the resident was [AGE] years old, 67 inches tall and weighed 140 pounds. […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2026

  Based on observation, interviews and record review it was determined the facility failed to ensure dishwasher temperatures met the minimum requirements for 1 of 1 dishwasher and failed to ensure food was labeled and stored in a manner to minimize spoilage and cross contamination for 1 of 1 resident refrigerator reviewed for the kitchen. This placed residents at risk for food borne illnesses, communicable diseases, and un-sanitized dishware and utensils. Findings include: The facility's Dishwashing policy dated 8/2024 included the following:- Do not run dishes through until machine has reached proper temperature for your specific machine. This may take multiple cycles.- Check for proper temperatures and pressure. Log Temps, if deficient, tell FNS Manager and/or Maintenance Director. […]

• No harm, potential for more than minimal, widespreadF730Nov 8, 2024

  Based on interview and record review it was determined the facility failed to ensure CNAs received annual performance reviews for 5 of 5 randomly selected CNA staff (#s 6, 7, 8, 9 and 10) reviewed for sufficient and competent staffing. This placed residents at risk for lack of care by competent staff. Findings include: A review of personnel records on 11/6/24 at 12:01 PM with Staff 23 (Human Resources/Payroll) indicated the following employees had not received their annual performance evaluations: -Staff 6 (CNA), hire date 9/17/15: no annual performance review was completed. -Staff 7 (CNA), hire date 9/16/14: no annual performance review was completed. -Staff 8 (CNA), hire date 9/15/17: no annual performance review was completed. […]

• No harm, potential for more than minimal, widespreadF947Nov 8, 2024

  Based on interview and record review it was determined the facility failed to ensure CNA staff received 12 hours of in-service training annually for 5 of 5 randomly selected staff members (#s 6, 7, 8, 9, and 10) reviewed for evidence of in-service training. This placed residents at risk for lack of quality care. Findings include: On 11/6/24 at 1:19 PM Staff 23 (Human Resources/Payroll) provided a list of annual training hours for CNA staff which revealed the following: -Staff 6 (CNA): 0 annual training hours; -Staff 7 (CNA): 8 annual training hours; -Staff 8 (CNA): 11 annual training hours; -Staff 9 (CNA): 0 annual training hours and -Staff 10 (CNA) 8 annual training hours. […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2023

  Based on observation and interview it was determined the facility failed to follow appropriate hand hygiene while preparing and serving food for 1 of 1 kitchen reviewed. This placed residents at risk for cross contamination and foodborne illness. Findings include: On 7/27/23 at 11:39 AM during the kitchen inspection, Staff 14 (Dietary Aid) was observed touching a kitchen door and handle. The door was white in color with numerous dark brown markings on front and back. Afterwards Staff 14 resumed preparing trays. Staff 14 did not change his gloves and perform hand hygiene. […]