Mi Casita Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Mi Casita Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600May 24, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident was free from any form of abuse for 7 (Resident #1, #2, #3, #4, #5, #6, #8) of 7 residents reviewed for Neglect. The facility failed to ensure residents were protected from verbal abuse by LVN A yelling and cursing at staff in front of residents and yelling and cursing at residents. This failure could affect all residents that reside in the facility placing them at risk of emotional and psychosocial abuse. On 05/22/2023 at 5:59 PM, an Immediate Jeopardy (IJ) was identified. […]

• No harm, potential for more than minimal, widespreadF812Nov 29, 2023

  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 in 1 of 1 kitchen reviewed for dietary services 1)The facility failed to ensure foods were processed and pureed under sanitary conditions. 2) The facility failed to ensure foods were stored in a manner to prevent contamination. These failures could place residents at risk for food contamination and foodborne illness. The findings included: The following observations were made during a kitchen tour on 11/27/23 that began at 9:15 AM and concluded at 09:45 AM: The following spices stored on the shelf were found open: lemon pepper, garlic, onion, 2 boxes of salt, garlic herb, sage, and cumin. […]

• No harm, potential for more than minimal, widespreadF925Sep 22, 2022

  Based on observation and interview, the facility must maintain an effective pest control program so that the facility was free of pests in the dining room and 2 of 13 resident's rooms (Rooms #27 and #29) reviewed for physical environment, in that: The facility failed to provide an effective pest control program for flies and insects in the facility. These failures could place residents at risk for vector-borne diseases. The findings include: During an observation on 09/20/22 at 09:56 AM, during initial tour of kitchen, a fly was seen crawling on the steam table. During an interview and observation on 09/20/22 at 10:30 AM in room 27 with Resident #32, 5 flies were observed crawling on the resident lying in bed. A fly swatter was observed laying across residents' abdomen. […]

• No harm, potential for more than minimal, patternF585Jan 8, 2025

  Based on observations, interviews, and record review, the facility failed to provide information to resident's and their representatives on their rights related to filing grievances or concerns for 9 of 15 confidential residents. The facility failed to ensure 9 of 15 confidential residents were provided, through postings in prominent locations, the Grievance Procedure, were provided access to the Grievance form, were provided information who the facility grievance official was, their contact information, how to file an anonymous grievance, and their right to obtain a written decision related to their grievance. This failure could place the residents at risk of unresolved grievances and decreased quality of life. […]

• No harm, potential for more than minimal, patternF800Jan 8, 2025

  Based on observation, interview, and record review the facility failed to provide each resident with a diet that met his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident for 3 (Resident #16, Resident #40, and Resident #25) of 15 residents reviewed for dietary services. The Facility did not provide Resident #16 or Resident #25 with their dietary preferences for 1 of 2 meals reviewed (Lunch on 01/07/25). The Facility did not provide Resident #40 with double portions or his dietary preferences for 1 of 2 meals reviewed (Lunch on 01/07/25). This failure could place residents, who ate meals from the kitchen, at risk for weight loss, altered nutritional status and diminished quality of life. […]