Nursing Center at La Posada, The

In the surveyor’s words

From the most serious findings on record at Nursing Center at La Posada, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 30, 2024

  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 for potentially 40 of 40 facility residents. The findings included: 1. During the initial observation tour of the main kitchen on 10/27/24 at 9:00 AM and accompanied with the facility's Food Service Director (FSD), the following were observed: (a) Observation of the main hallway leading up to the kitchen entry/exit door noted that the exterior of the air-conditioning vent was covered with a black mold type substance. […]

• No harm, potential for more than minimal, patternF800Oct 30, 2024

  Based on observation, interview, and record review, the facility failed to provide residents with a well-balanced diet that meets daily nutritional needs that potentially included 40 of the facility 40 residents, and specifically 6 of 6 sampled residents, Residents #5, #14, #17, #25, 195, and #197, with physician ordered Pureed and Mechanical Soft Diets. The findings included: 1. During the review of Cycle Menu #2 which was being utilized during the survey of 10/27/24, it was noted that the cycle menu documented that the breakfast was the only meal that documented an 8-ounce portion of Choice of Milk. Further review of the lunch and dinner meals noted no milk serving documented and stated only 8-ounce beverage. […]

• No harm, potential for more than minimal, patternF847Oct 30, 2024

  Based on record review and interviews, the facility failed to ensure the Binding Arbitration Agreements was complied with all the regulatory requirements, that included the Agreement must explicitly grant the resident / representative the right to rescind within 30 days of signing it. This affected 35 residents who had signed the facility's current arbitration agreement for the period of 02/02/21 through 10/24/24. The census at the time of survey was 40 residents. The findings included: On 10/27/24 at 10:58 AM, during entrance conference with the Administrator, she verified that there were residents that have entered into an arbitration agreement. She stated this is done when the residents are admitted and part of their admission packet. […]

• No harm, potential for more than minimal, patternF848Oct 30, 2024

  Based on record review and interviews, the facility failed to ensure the Binding Arbitration Agreements was complied with all regulatory requirements, that included the arbitration proceedings shall take place in a venue that is convenient for both parties. This affected 35 residents who signed the facility's current arbitration agreement for the period of 02/02/21 through 10/24/24. The census at the time of survey was 40 residents. The findings included: On 10/27/24 at 10:58 AM, during entrance conference with the Administrator, she verified that there were residents that have entered into an arbitration agreement. She stated this is done when they are admitted and is part of their admission packet. She confirmed that no residents at this time have resolved a dispute using arbitration. […]

• No harm, potential for more than minimal, isolatedF676Oct 30, 2024

  Based on observation, interview, and record review, the facility failed to care and services, as evidenced by lack of supervision and assistance, during meals for 1 of 4 sampled residents, Resident #17, reviewed for nutrition. The findings included: Review of the clinical record of Resident #17 revealed the resident was originally admitted on [DATE] and readmitted on [DATE] with diagnoses that included: Fracture of Left Shoulder, Congestive Heart Failure (CHF), Repeated falls, and Psychosis. Review of the current Minimum Data Set (MDS) assessment dated [DATE] noted a Brief Interview for Mental Status (BIMS) score of 2 indicating severe cognitive impairment, and the resident required supervision and touching assistance with eating of meals. […]