Niles Canyon Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 15, 2022

  Based on observation, interview and record review the facility failed to follow food safety requirements when the following were noted: 1. Dietary staff did not perform hand hygiene after entering the kitchen. 2. Dishwasher did not reach 120ºF (degrees Fahrenheit) each time. 3. Multiple items were unlabeled and undated in the unit refrigerator. These failures had the potential for cross contamination. Findings 1. During an observation on 4/11/22 10:24 a.m., in the kitchen, Dietary Aide (DA) was observed donning an apron and gloves, without first performing proper hand hygiene. During an interview on 4/12/22, at 2:20 p.m., with Dietary Manager (DM), DM stated everyone should stop and wash their hands before doing anything in the kitchen. DM stated it's a risk for cross contamination. 2. […]

• No harm, potential for more than minimal, patternF812Feb 17, 2024

  Based on observation, interview, and record review, the facility failed to ensure resident food was stored in a safe and sanitary manner. This failure had the potential to cause infection and food borne illness to the residents that received food from the kitchen. Findings: During an observation on [DATE], at 10:17 a.m., the dry food storage and freezer room was observed. Sixteen prune juice cups, 118 mL (milliter) each, had a manufacturer's use by date of [DATE], were stored on a shelf. An open box of bananas, a container with 17 quarts of brown rice, a container with 9 quarts of white rice, and a container with 48 cups of flour were stored on shelves about 3.5 inches above floor. […]

• No harm, potential for more than minimal, patternF644Apr 15, 2022

  Based on interview and record review the facility failed to accurately follow through the Preadmission Screening and Resident Review (PASARR) assessment process (a screening tool used to prevent individuals with mental illness (MI), intellectual disability (ID) or related conditions (RC) from being inappropriately placed in a Medicaid certified nursing facility (NF) for long-term care) for two of two sampled residents (Resident 1 and Resident 35) when following was noted: 1. Resident 1 did not receive PASSR level II evaluation. 2. Resident 35's PASSR level 1 assessmentwas not completed accurately to reflect the severely impaired cognitive status (mental status). This failure placed Resident 1 and Resident 35 at risk to not receive care and services appropriate to their needs. Findings: 1. […]

• No harm, potential for more than minimal, patternF677Apr 15, 2022

  Based on observation, interview, and record review, the facility failed to ensure one of four sampled residents (Resident 254) received care when following was noted: 1. Resident 254 had long fingernails with black matter underneath on both hands. 2. Resident 254 did not receive shower/bed bath for four of five days within one week of readmission to the facility. This failure resulted in Resident 254 to feel helpless, placed him at risk for infections and hurting himself with long fingernails. Findings: 1. […]

• No harm, potential for more than minimal, patternF695Apr 15, 2022

  Based on observation, interview and record review, the facility failed to ensure a resident received the volume of oxygen as ordered by the physician for two of two sampled residents (Resident 2 and Resident 37). This deficient practice resulted in Resident 2 and Resident 37 receiving more oxygen than required and can negatively impact both resident's the health and well-being. Findings: 1. During a review of Resident 37's Admission Record, the Admission Record indicated, Resident 37 was originally admitted to the facility on [DATE], and was readmitted on [DATE]. […]