Montecito Heights Healthcare & Wellness Centre, LP

In the surveyor’s words

From the most serious findings on record at Montecito Heights Healthcare & Wellness Centre, LP, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary food storage and distribution practices, by failing to:Ensure food in refrigerators and dry storage were labeled and dated.Ensure food beyond expiration dates was discarded.Ensure potentially hazardous foods were not stored above ready-to-eat foods.Ensure milk that was stored within the temperature danger zone (a range of temperatures, 41-135 degrees Fahrenheit [ F], where harmful bacteria can multiply rapidly) was not served to residents.Ensure unlabeled and expired food was not kept in the resident refrigerator. […]

• No harm, potential for more than minimal, widespreadF851Jun 25, 2026

  Based on interview and record review the facility failed to submit the Payroll Based Journal (PBJ - a mandatory reporting system for healthcare facilities to submit direct care staffing information that is collected and can be audited) for the first quarter (every three months) from 10/1/2025 to 12/31/2025 to the Centers of Medicare and Medicaid (CMS, the federal agency that provides health coverage).This failure compromised the accuracy of the facility's staffing levels and had the potential to affect the facility not to be adequately staffed and/or have the necessary staff to provide care to meet the needs of the residents (in general).Findings: During a review of the CMS PBJ Staffing Data Report dated 6/16/2026, the PBJ report indicated the facility did not submit staffing data for… […]

• No harm, potential for more than minimal, widespreadF880Jun 25, 2026

  Based on observation, interview and record review, the facility failed to maintain infection control practices by failing to:1. Ensure nephrostomy tubing (a thin catheter that drains urine from the kidney into a bag) was found on the floor for one of one sampled resident (Resident 25).2. Implement an effective water management program to reduce the risk of Legionella (a [NAME] of bacteria naturally found in fresh water) and other waterborne pathogens by failing to maintain documentation of routine cold-water monitoring for the facility's water distribution system. […]

• No harm, potential for more than minimal, widespreadF908Jun 25, 2026

  Based on observation, interview, and record review, the facility failed to maintain equipment in safe operating condition when the reach-in refrigerator (an upright, standalone, commercial cooling unit designed to keep perishable ingredients cold) in the kitchen had an internal temperature within the temperature danger zone (a range of temperatures, 41-135 degrees Fahrenheit [ F], where harmful bacteria can multiply rapidly). This deficient practice had the potential to result in harmful bacterial growth that could lead to foodborne illness (a disease caused by consuming food or drinks that are contaminated by germs or toxins) in 68 of 70 residents who received food from the kitchen. […]

• No harm, potential for more than minimal, patternF605Jun 25, 2026

  Based on interview and record review the facility failed to ensure informed consent (a form signed by resident after providers fully explain a proposed treatment, its risks, benefits, and alternatives) was signed before ordering psychotropic (also referred to as psychoactive drugs, a medication that affects brain activities associated with mental processes and behavior) and antidepressant drug (medication to treat depression [persistent sadness, low mood, loss of interest]) and there was a stop date on as needed medication for psychotropic drug administration for one of five sampled residents (Resident 87). […]