Pacific Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF882Dec 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure: 1. There was a full-time Infection Control Preventionist (IP) as required by state regulation and 2. The IP completed 10 hours of continuing education in the field of IPC (infection prevention and control ) on an annual basis. This deficient practice had the potential for the identification and implementation of infection prevention goals and objectives not being achieved throughout the facility, placing the risks for the spread of infections such as Coronavirus (COVID-19- a deadly respiratory disease transmitted from person to person) to the residents, staff and community. facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF550Apr 3, 2026

  Based on observation, interview and record review, the facility failed to to ensure residents were treated in a manner that enhanced the resident's dignity and respect in full recognition of residents individuality during meals when:Staff placed towels on the residents chest to protect the residents clothes without obtaining consent for seven of nine sampled residents (Residents 23, 20, 36, 26, 39,14 and 43). Staff referred/called residents requiring assistance with meals feeders for for eight out of eight sampled residents (Residents 10, 13, 20, 22, 23, 26, 29, and 36). This failure had potential to negatively affect Residents 20, 20, 36, 26, 39, 14, 43, 10, 13, 20, 22, 23, 26, 29, and 36 sense of dignity and self-worth. […]

• No harm, potential for more than minimal, patternF812Apr 3, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage practices in the kitchen by failing to ensure foods with past use-by dates were not stored in the facility's food refrigerator according to the facility's policy and procedures (P&P) titled, Food Safety and Food Storage dated 11/19/2025. This failure had the potential to result in harmful bacteria growth and cross contamination (transfer of harmful bacteria from one place to another) that could lead to foodborne illness for all the residents who receive and consume food prepared in the facility's kitchen. Findings: During a kitchen tour on 3/31/2026 at 7:51 am, the following foods with past use-by dates were observed to be in the facility's kitchen refrigerator:a. […]

• No harm, potential for more than minimal, patternF755Jan 23, 2025

  Based on observation, interview, and record review the facility failed to dispose of medications in a manner that was not retrievable (able to get back,) in one of one inspected medication room (Medication room [ROOM NUMBER].) This failure had the potential to increase the opportunity for medication diversion (the transfer of a medication from a lawful to an unlawful channel of distribution or use,) and increase the risk that residents in the facility could have accidental exposure to harmful medications possibly leading to physical and psychosocial harm, and hospitalization . Findings: During a concurrent observation and interview on [DATE] at 11:21 a.m. […]

• No harm, potential for more than minimal, patternF880Jan 23, 2025

  Based on observation, interview, and record review, the facility failed to ensure the staff followed the facility's infection control policy and procedure (P&P) by not labeling the personal hygiene belongings (two emesis basins, two toothbrushes, one toothpaste and two bottles of bath soap) in the shared bathroom for four of 14 sampled residents (Resident 25, Resident 27, Resident 28, and Resident 31). This deficient practice had the potential to result in Resident 25, Resident 27, Resident 28, and Resident 31 getting and spreading infection (the establishment of an infective agent in or on a suitable host, producing clinical signs and symptoms such as fever, redness, heat, etc.). Findings: During an observation on 1/21/2025 at 9:24 a.m. […]