Oroville Hospital Post-Acute Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF888Mar 11, 2022

  Based on interview and record review, the facility failed to develop and implement a policy and procedure (P&P) to ensure that all facility staff who provide any care, treatment, or other services for the facility and/or its residents are fully vaccinated for COVID-19 (an illness that can cause severe symptoms and in some cases death, especially in the elderly) when: 1.a. The facility did not develop a P&P that included COVID-19 vaccination of facility staff. 1.b. Contingency plans (alternate plan) that include additional precautions for COVID-19 unvaccinated staff. 1.c. […]

• Immediate jeopardy, isolatedF600Jul 23, 2024

  Based on interview and record review the facility failed to ensure one of 12 sampled residents (Resident 1) was free from mistreatment, misappropriation of property, and mental abuse when he was abducted (removed by force) from the facility by a restricted visitor (not authorized to visit or call). This resulted in Resident 1 to be taken out of the facility for 90 minutes with a restricted visitor who would attempt to financially abuse him. An Immediate Jeopardy (IJ) situation was identified on 7/19/24 at 3:45 pm, in the presence of the Executive Director (ED) and Director of Staff Development (DSD), due to not implementing a restricted visitor screening system that ensured residents were protected from any type of abuse from unauthorized visitors. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2026

  Based on observation and interview the facility failed to maintain food safety requirements in the kitchen for all residents receiving their nutritional intake from the kitchen when a gallon of milk and a jar of dill pickle relish were not labeled with the open date following the opening and use of the products.This failure had the potential to result in improper prolonged, out of date use leading to disease transmission, increasing environmental health complications, and overall wellbeing issues to those residents' receiving their nutritional intake from the facility kitchen.Findings:During a review of facility's policy and procedure titled, Labeling and Dating of Foods, dated 2023, indicated, Newly opened food items will need to be closed and labeled with an open date and use by the date… […]

• No harm, potential for more than minimal, widespreadF851May 8, 2026

  Based on interview, and record review, the facility failed to submit the required Payroll Based Journaling (PBJ), staffing information to the Centers for Medicare and Medicaid Services (CMS).This failure has the potential for nursing homes to have inadequate staffing to care for residents and can lead to adverse clinical outcomes. Findings:During a concurrent interview and record review on 5/5/26 at 8:00 am., with the Director of Nursing (DON), the PBJ reporting data was reviewed, the PBJ indicated the CASPER report 1705D fiscal year quarter 1 2026 (October1 - December 31), the facility failed to submit data for the quarter. […]

• No harm, potential for more than minimal, widespreadF908May 8, 2026

  Based on observation, interview, and record review the facility failed to maintain essential equipment in operable condition affecting all residents that partake in nutrition provided by the kitchen facility and residents using bathroom units when:1. The oven in the kitchen had broken doors rendering the unit inoperable to perform the function of cooking.2.The wall by the dishwasher unit had incomplete repairs performed leaving the drywall open to moisture, and potential mold and bacterial growth which could result in infection control issues and food borne illness propagation.3.The bathroom facilities, sink and toilet, in room [ROOM NUMBER] were not working. […]