Merced Nursing & Rehabilitation CTR

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Apr 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure a registered dietician consultant was able to conduct sanitation inspections and observe food safety and handling practices for 73 of 74 residents who consumed food prepped from the kitchen, when the consultant stated she worked remotely and would not be able to perform onsite tasks. This failure resulted in the facility not ensuring the dumpsters were kept closed and free of surrounding litter, the kitchen oven, stove, and steam tables were not without food residue which could have the potential to attract or harbor pests and increased the risk of cross contamination (the unintentional transfer of harmful bacteria or other contaminants from one food, surface, or object to another, often leading to foodborne… […]

• No harm, potential for more than minimal, widespreadF812Apr 18, 2025

  Based on observation, interview, and record review, the facility failed to maintain safe food storage and food handling in accordance with professional standards for food service safety for 73 of 74 residents who consumed food from the kitchen when: 1. Expired food was found in the refrigerator and in dry storage (storing/maintaining dry foods). 2. Food residue was stuck to the stove, oven, and steam table. These failures had the potential to place 73 residents at risk of food contamination (the unintended presence of potentially harmful substances, including, but not limited to microorganisms (tiny living things that are found all around us that are too small to be seen with the naked eye), chemicals, or physical objects in food) and potential food borne illnesses through cross… […]

• No harm, potential for more than minimal, widespreadF814Apr 18, 2025

  Based on observation, interview, and record review the facility failed to ensure the garbage was disposed of properly when the blue dumpster was found uncovered with carboard boxes stacked higher than the rim of the dumpster, a pile of cardboard was lying on the ground next to a second dumpster and two piles of cardboard boxes were on the concrete walkway outside of the kitchen back door. This failure had the potential to attract or harbor pests which could increase the risk of cross contamination (the unintentional transfer of harmful bacteria or other contaminants from one food, surface, or object to another, often leading to foodborne illnesses and the growth of microorganisms) and could affect the food prepared in the kitchen for 73 of 74 residents who received food from the kitchen. […]

• No harm, potential for more than minimal, widespreadF814Jul 12, 2024

  Based on observation, interview and record review, the facility failed to follow their policy for garbage and refuse containers when the lids on two of two outside trash bins were left open. This failure had the potential to attracts animals, insects and pests which could lead to infestations, unsanitary conditions and the spread of disease. Findings: During an observation on 7/9/24 at 9:43 a.m. in the alley behind the facility, a large blue trash bin was observed to be uncovered, the lid of the trash bin was hanging on the back of the bin with the contents inside the bin exposed. A large grey trash bin had the lid propped open with an empty cardboard box. Two cats were at the bottom of the bins. […]

• No harm, potential for more than minimal, patternF584Jul 12, 2024

  Based on observation, interview, and record review the facility failed to implement a clean, comfortable, homelike environment for 7 of 29 sampled residents (Residents 1, 9,16, 18, 26, 27, 47) when: 1. Residents 1, 16, 26, and 47's room and privacy curtains were not properly hung on the hooks. This failure had the potential to result in Residents 1, 16, 26, and 47 not being provided their right to have privacy or a comfortable homelike environment. 2. The facility failed to honor the right of three of 23 sampled residents (9, 18, and 27), when the wall of residents 9,18 and 23's room had paint that missing, chipped and peeling. Findings: 1. During an observation on 7/9/24 at 10:39 a.m. […]