Modesto Post Acute Center

In the surveyor’s words

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

• Actual harm, isolatedF550Nov 12, 2024

  Based on interview and record review, the facility failed to honor six out of six sampled residents ' (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, and Resident 6) rights when they all were given written notices they would have to move into different rooms in the facility with no existing reason to do so, despite some of the residents having resided in their rooms for several years. This failure resulted in: 1. The potential for more than minimal harm for Resident 1, Resident 2, Resident 3, Resident 5, and Resident 6 when their collective right to a respectful and dignified existence was not honored by failing to allow all six residents ' rights to self-determination, affecting their right to a respectful and dignified environment, by not allowing them to remain in their… […]

• No harm, potential for more than minimal, widespreadF814Mar 20, 2026

  Based on observation, interview and record review the facility failed to ensure garbage storage area was maintained in safe and sanitary conditions when:1. Grayish fluids from the sewer and thick yellowish drainage from the grease trap were draining creating a pool into the driveway on 3/17/26.2. Two of the three garbage bins did not have a lid and were open to air on 3/18/26.These failures had the potential for unwanted pest ((any organism-insect, rodent, or microbe-those damages structures or threatens human health) which could have led to disease transmission causing foodborne illness (results from eating food contaminated with germs [bacteria, viruses, parasites] or toxins) leading to hospitalization for 98 residents, vendors, guests and staff.Findings:During an observation on 3/17/26… […]

• No harm, potential for more than minimal, widespreadF881Mar 20, 2026

  Based on interview and record review the facility failed to promote and implement an antibiotic (ATB) stewardship and surveillance program (ATBS- designed to reduce unnecessary use of antibiotics and to limit the spread of antibiotic resistance in bacteria) for the use of antibiotics when:Infection screening evaluations (ISE-completed before starting antibiotics to ensure the medication is necessary, effective, and targeted) were not completed before residents started antibiotics.Antibiotics discontinued after initiation, for not meeting infection screening evaluation criteria, were not included in antibiotic stewardship data review or monitoring for 2/2026.This failure resulted in the administration of unnecessary and inappropriate antibiotic use, as well as inaccurate monitoring of… […]

• No harm, potential for more than minimal, patternF812Mar 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared safely in accordance with professional standards of food service safety for 95 out of 98 residents receiving food at the facility when:1. An open bag of potato chips inside a zip lock bag did not have a use by (a crucial safety indicator found on perishable foods like meats and salads, marking when it is no longer safe to eat, even if it appears fine) date.2. The food preparation sink did not have an air gap (space between the end of sink pipe and top of sink to prevent backflow). […]

• No harm, potential for more than minimal, patternF760Aug 15, 2024

  Based on interview, record review, and facility policy review, the facility failed to ensure a significant medication error did not occur for 1 (Resident #46) of 5 residents reviewed for unnecessary medications. Specifically, facility staff failed to follow a physician's order to hold midodrine hydrochloride (a medication used to treat low blood pressure) when the resident's systolic blood pressure (SBP, the top number in a blood pressure reading) was greater than 130 millimeters of mercury (mmHg) and failed to only administer losartan potassium (a medication used to treat high blood pressure) when the resident's SBP was greater than 130 mmHg. […]