Orinda Care Center, LLC

In the surveyor’s words

From the most serious findings on record at Orinda Care Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 24, 2025

  Based on observation, interview, and record review, the facility failed to follow food safety standards: 1. Cook1 did not wear beard net while preparing desert, when he had about an inch long beard. 2. Five bowls with dry cereal and one bowl with white granulated powder were left unlabeled and undated in the kitchen cabinet. These failures posed a potential risk for food safety and placed facility's residents at risk for food borne illnesses. Findings: During a concurrent observation and interview with [NAME] 1 and Dietary Services Supervisor (DSS) on 1/21/25 at 9:42 a.m., in the kitchen, [NAME] 1 was preparing desert that needed to be served during lunch on that day. […]

• No harm, potential for more than minimal, patternF557May 29, 2026

  Based on observation, interview, and record review, the facility failed to protect personal belongings of four sampled residents (Resident 1, 2, 3, 4) and did not follow their policy to ensure the residents' personal property were properly logged upon admission and as necessary when:1. Resident 1's clothes and personal items were reported missing and not all were found.2. Residents 2, 3, and 4 had claimed they were missing clothes and personal items that were not reported.3. Residents losing their clothes was one of the concerns discussed in the Resident council meeting on 4/23/26 and there was no evidence that it was resolved.4. […]

• No harm, potential for more than minimal, patternF584Apr 9, 2025

  Based on observation, interview and record review, the facility failed to ensure a clean, orderly homelike environment when: -Resident rooms had build-up of white crumbs on the floor and personal items like disposable briefs and pillows were piled on a chair at the bedside. -There was insufficient supply of bath towels, face towels, and bed linens available for residents to use. Based on observation, interview and record review, the facility failed to ensure a clean, orderly homelike environment when: -Resident rooms had build-up of white crumbs on the floor and personal items like disposable briefs and pillows were piled on a chair at the bedside. -There was insufficient supply of bath towels, face towels, and bed linens available for residents to use. […]

• No harm, potential for more than minimal, patternF578Jan 24, 2025

  Based on interview and record review, for eight of 31 sampled residents (Residents 2, 11, 14, 18, 37, 38, 46 and 249), the facility failed to offer or ensure an advance directive (a written instruction for health care, recognized under State law, relating to the provision of health care when the individual is incapacitated) was on file, when the facility did not offer to locate or help the residents/representatives complete the document. This failure had the potential for Residents 2, 11, 14, 18, 37, 38, 46, and 249's wishes regarding provision of health care to not be honored. […]

• No harm, potential for more than minimal, patternF641Jan 24, 2025

  Based on observation, interview and record review, the facility failed to accurately assess two of three sampled residents (Resident 13 and Resident 23) for tobacco use status on comprehensive Minimum Data Set (MDS, an assessment used to guide care). Facility inaccurately coded NO to Current Tobacco Use for Resident 13 and Resident 23 who were smoking daily. The failure resulted in inaccurate reflection of Resident 13 and Resident 23's clinical status and placed them at risk for not receiving person-centered care. Findings: During a record review of Resident 13's Admission Record, printed on 1/24/25, the record indicated Resident 13 was admitted to the facility on [DATE]. […]