Mission de la Casa

In the surveyor’s words

From the most serious findings on record at Mission de la Casa, in the surveyor’s own words.

• Immediate jeopardy, patternF880Aug 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure infection control measures were implemented during the facility's COVID-19 (name of disease caused from SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2, a type of coronavirus]) outbreak (when a disease spreads to more people than usual, and caused by an infectious agent, such bacteria, viruses, or parasites) when:1. There was no Transmission-Based Precaution (a second tier of basic infection control used in addition to Standard Precautions for patients who may be infected or colonized with certain infectious agents for which additional precautions are needed to prevent infection transmission) related to COVID-19 posted at the double doors, and no isolation cart (a cart used in hospitals and other… […]

• Actual harm, isolatedF689Apr 18, 2024

  Based on interview and record review, the facility failed to ensure supervision was provided to one of three residents (Resident 1) who was assessed to be high risk for falls, totally dependent on staff for transferring, and required close monitoring (staff made rounds and observed the residents at risk of falling) when Resident 1 was left sitting in her wheelchair in the hallway without staff watching and/or supervising her on [DATE], at 6:45 a.m., when staff went inside another resident's room. […]

• No harm, potential for more than minimal, widespreadF801Aug 21, 2025

  Based on interview and document review, the facility failed to have qualified, full-time oversight of Food and Nutrition Services in accordance with State requirements when the Registered Dietitian did not fulfill the role in the Dietitian job description, and the staff put in charge of supervising the kitchen were not qualified. This deficient practice could result in compromising the safety and nutritional status of residents through potential transmission of foodborne illness and decreased quality of food for 144 residents, who received food from the kitchen out of a census of 151.Findings:Review of California Code Regulations Title 22 S 70271 - Dietetic Service Definition, shows Dietetic Services refers to operations in relation to food, specifically providing safe, satisfying and… […]

• No harm, potential for more than minimal, widespreadF802Aug 21, 2025

  Based observation, interview, and record review, the facility failed to employ staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service.ADS was unable to accurately demonstrate the procedure for testing the concentration, according to manufacturer specifications, of the sanitizing solution used on food contact surfaces.Cook C was unable to accurately identify the acceptable calibration temperature for two thermometers in an ice water solution.These failures had the potential to result in ineffective sanitation practices and the use of inaccurate temperature-measuring devices for verifying safe food temperatures, thereby increasing the risk of foodborne illness among a high-risk population of 144 residents who consumed food… […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observation, interview, and record review, the facility failed to:Discard unused pork leftovers following dinner service on 08/10/2025.Discard 2 expired raw thawing turkey loaves with a use by date of 08/09/2025.Maintain food at or below 41 F in the one-door refrigerator, as required for proper refrigeration.Maintain cleanliness of 4 out of 12 knives.These deficiencies had the potential to compromise food safety and increase the risk of foodborne illness for 144 of the 151 residents who consumed meals prepared in the facility's kitchen.Findings:1. Failure to discard unused pork leftovers following dinner service on 08/10/2025. Potentially hazardous foods (PHF) are those capable of supporting bacterial growth associated with foodborne illness. […]