Place at Martinez, The

In the surveyor’s words

From the most serious findings on record at Place at Martinez, The, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF847Nov 21, 2025

  Based on document review and staff interviews, the facility failed to ensure that the arbitration agreement provided to all facility residents, with a current census of 79 residents, was not required to sign an arbitration agreement as a condition of admission to, or as a requirement to continue to, receive care at the facility. Specifically, the facility failed to ensure the arbitration agreement was not mandatory for all residents admitted to the facility. Findings include: Review of the facility provided admissions pack revealed under I. Dispute Resolution Procedure: that 3. […]

• No harm, potential for more than minimal, widespreadF848Nov 21, 2025

  Based on document review and staff interviews, the facility failed to ensure that the arbitration agreement signed by all facility residents, with a current census of 79 residents, provided for the selection of a venue that was convenient to both parties. Specifically, the facility failed to ensure that a neutral venue available to both parties was documented within the arbitration agreement. This exclusion places facility residents and families at an unknown disadvantage in potential future disputes.Findings include: Review of the facility provided admissions pack revealed under I. Dispute Resolution Procedure: that it failed to include a clause to allow for any arbitration to be conducted at a site which was convenient to both parties signing the form. […]

• No harm, potential for more than minimal, patternF584Nov 21, 2025

  Based on observations, staff interviews, and policy review, the facility failed to maintain a safe, functional, and sanitary environment in the main dining room where 14 out of a total of 85 residents ate their meals. This failure had the potential to lead to the spread of infection or feelings of discomfort and dissatisfaction among residents. Findings include: Review of the undated policy titled, The Place Facilities Safe and Homelike Environment, revealed, Housekeeping and maintenance services will be provided as necessary to maintain a sanitary, orderly, and comfortable environment. During initial observations of the main dining room on 11/18/25 at 9:11 AM, four of five observed ceiling vents were covered with fuzzy dust and dirt. […]

• No harm, potential for more than minimal, patternF803Nov 21, 2025

  Based on observations, staff interviews, and document review, the facility failed to ensure that eight of the eight residents who received pureed diets out of a total of 85 residents received the foods as called for in the menus. These failures placed the eight residents at risk for weight loss, malnutrition, or dissatisfaction with their meals.Findings include: Review of a handwritten, undated document titled Texture Count, provided by the Dietary Manager (DM), revealed the facility had eight residents who received a pureed diet. 1. During interview and concurrent observation of breakfast service in the kitchen on 11/20/25 at 7:34 AM, Dietary Aide (DA) 2 stated she prepared pureed eggs, pureed waffles, and cream of wheat for the pureed meals. […]

• No harm, potential for more than minimal, patternF881Nov 21, 2025

  Based on record review, staff interviews, document review, policy review, and review of McGeer's criteria, the facility failed to have an Antibiotic Stewardship Program that followed current standards of practice for prescribing an antibiotic for five of five residents (Resident (R) 25, R62, R63, R46, and R50) reviewed for antibiotic stewardship out of total sample of 27 residents. This failure had the potential for residents to be prescribed unnecessary antibiotics.Findings include: Review of the undated facility's policy titled, The Place Antibiotic Stewardship Program indicated, The program includes antibiotic use protocols and a system to monitor antibiotic use. […]