Peninsula Post-Acute

In the surveyor’s words

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

• Actual harm, isolatedF600Feb 18, 2022

  Based on interview and record review, the facility failed to ensure two out of 13 sampled residents (Residents 53 and 168) were free from neglect when: 1 . Resident 53 reported a staff was rude and failed to help him change out of his wet adult brief. As a result, Resident 53 still have ongoing unpleasant memory of this event and is fearful of working with this staff. 2. Resident 168's family requested pain medication from a nurse. This request was ignored for almost an hour while the Resident was in severe pain. As a result, Resident 168 continued to have severe pain for an hour. Findings: A thorough review of staff response to request for assistance was initiated during this survey due to two factors: i. […]

• No harm, potential for more than minimal, widespreadF812Mar 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary conditions were met for food storage in the kitchen when the kitchen did not document the initial temperatures for 3 food items on the cool down log. These failures were likely to result in putting residents at risk for foodborne illness (diseases caused by consuming contaminated food or drink).Cooling is the specific method and guideline used to rapidly lower the temperature of cooked food to a safe storage level, preventing bacterial growth. Improper cooling is a major factor in causing foodborne illness. […]

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation, interview, and facility document review, the facility failed to ensure food was stored, prepared, and served in a safe and sanitary environment when: 1. The fish served was not cooked to the appropriate temperature; 2. The fish was not thawed properly; 3. The resident's refrigerator contained unlabeled, undated and expired items; 4. Proper hand hygiene and glove use was not followed; 5. The microwave was not clean; 6. The plate warmer was not clean; and 7. […]

• No harm, potential for more than minimal, widespreadF800Feb 18, 2022

  Based on observation, interview and record review the facility failed to ensure the hospital menu met the nutritional needs in accordance with the Medical Director (MD) approved diet manual, physician ordered diets and current standards of practice. This failure resulted in diets not given in accordance with the prescriber's order and diet specification which may result in resident's not receiving food to meet their nutritional needs and/or receiving food that may worsen their clinical conditions. The lack of comprehensive nutritional analysis, in general, affected 47 residents who were receiving meals from the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Feb 18, 2022

  Based on food production observations, dietary staff interview and dietary document review the facility failed to ensure food was stored and/or prepared in a sanitary manner when there were 1) lapses in infection control, 2) lack of comprehensive cooldown monitoring of potentially hazardous foods prepared from ingredients at room temperature; 3) improper washing/sanitation of food service equipment; 4) ineffective sanitizer strength; and 5) storage of unlabeled and/or undated items. This failure had the potential to put residents at risk for foodborne illnesses (any illness resulting from the consumption of foods contaminated by bacteria, viruses, or parasites). Findings: 1. […]