Paloma Springs Healthcare LLC

In the surveyor’s words

From the most serious findings on record at Paloma Springs Healthcare LLC, in the surveyor’s own words.

• Actual harm, isolatedF686Feb 12, 2024

  Based on record review and interview, the facility failed to ensure residents received care and treatment for pressure ulcers in accordance with professional standards of care (reasonable degree of care a person should provide to another person, typically in a professional or medical setting) for 1 (R #242) of 2 (R #192 and R #242) residents reviewed for pressure ulcers, when staff failed to: 1. Monitor wound progression. 2. Notify the provider about changes in wound condition. 3. Administer prescribed antibiotics in a timely manner. This deficient practice likely resulted in unnecessary worsening of R #242's wound, pain, and suffering. The findings are: A. Record review of R #242's medical record revealed the following: 1. R #242 was admitted to the facility on [DATE]. 2. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2025

  Based on observation and interview, the facility failed to store food under sanitary conditions for all 81 residents who eat food from the kitchen (residents were identified by the resident census provided by the Administrator on 04/21/25), when they failed to label and date dessert items in the kitchen refrigerator. If the facility fails to store food under safe and sanitary conditions then this could likely lead to foodborne illnesses (Foodborne illness can occur if you eat foods that are contaminated with harmful pathogens such as bacteria, viruses, and fungi) in residents. The findings are: A. […]

• No harm, potential for more than minimal, widespreadF756Feb 12, 2024

  Based on record review and interview, the facility failed to ensure staff acted upon pharmacy recommendations for all 85 residents in the facility (residents were identified on the resident matrix provided by the Administrator on 02/05/24), when they failed to get the pharmacy recommendations back from the provider with instructions to accept or decline recommendations, within 30 days of the facility receiving the pharmacy recommendations. This deficient practice could likely result in residents being at a higher risk of adverse (undesired harmful effect resulting from medication) side effects. The findings are: A. Record review of the Pharmacy Recommendations, for November 2023, revealed the following: 1. The pharmacist conducted a facility wide Medication Regimen Review on 11/11/23. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2024

  Based on observation and interview, the facility failed to follow procedures in accordance with professional standards of food service safety, when they failed to: 1. Ensure the chemical sanitation solution was maintained at the correct concentration. 2. Properly label opened food items in the walk-in refrigerator and walk-in freezer. This failure had the potential to affect all 81 residents in the facility who eat food prepared in the kitchen. Residents were identified by the Resident Matrix provided by the Administrator on 02/05/24. If the facility fails to adhere safe food storage then residents are likely to be exposed to foodborne illnesses. The findings are: Sanitizer Solution A. On 02/05/24 at 10:05 AM, during an observation, the kitchen revealed the following: 1. […]

• No harm, potential for more than minimal, widespreadF880Apr 6, 2022

  Based on observation, interview, and record review, the facility failed to ensure staff follow proper infection control practices when the facility failed to: 1. Screen surveyors for signs/symptoms of Covid-19 (a mild to severe respiratory illness that is caused by a coronavirus). 2. Have unvaccinated staff wear their N-95 mask in the dining area. This has the potential to affect all 65 residents in the facility (residents were identified by the Census list Resident Matrix provided by the Administrator on 04/05/22). This deficient practice could likely result in the spread of infection and could cause residents to become sick. The findings are: Screening A. […]