Pleasanton Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Pleasanton Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 24, 2026

  Based on observation, interview and record review, the facility failed to ensure food service safety and sanitation requirements were followed when:1. A 7-pound can of cherry pie filling was observed to have a dent near the top of the can and was stored alongside regular cans outside the designated dented can area.2. A cheese grater, hung up with clean food preparation items, was found with a broken red plastic rim.3. A green cutting board, stored with clean food preparation items, was found with yellow debris and was marred (surface with deep gouges) on one side.These failures had the potential to cause food borne illness among vulnerable residents.Findings:1.During a concurrent observation and interview on 4/20/2026 at 3:00 p.m. […]

• No harm, potential for more than minimal, patternF812Mar 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared in a clean environment, within standards for safety when: 1) Ice Machine floor drain was not maintained clean; 2) Food items stored in the refrigerator had expired with past use by dates; 3) Food items in the refrigerator did not have use by and expiration dates; 4) Food items in the pantry not labelled and stored properly; 5) Kitchenware (including pans, cutting boards, cooking utensils, ergo silverware, strainers, blender, food processor) were in poor condition; 6) The two-part sink, on the left side of sink, was being used for washing potatoes and the right side of the sink with a large cleaning bucket filled with rags, water and cleaning solution; 7) Drawers used to store… […]

• No harm, potential for more than minimal, patternF804Apr 25, 2024

  Based on observation, interviews, document review, and facility policy review, the facility failed to follow the recipe when they prepared pureed chopped beef steak for 11 (Residents #10, #13, #41, #60, #67, #69, #74, #82, #84, #104, and #111) of 11 residents who received pureed diets from the kitchen. Findings included: A review of the facility policy titled, Texture and Consistency Modified Diets, with a copyright date of 2023, revealed, 5. The food and nutrition services department will be responsible for preparing and serving the correct consistency of food and beverages as ordered. A review of a facility document titled, Diet Type Report, dated 04/23/2024, revealed 11 (Residents #10, #13, #41, #60, #67, #69, #74, #82, #84, #104, and #111) residents were ordered a pureed diet. […]

• No harm, potential for more than minimal, patternF730May 14, 2021

  Based on observation, interview and record review, the facility failed to ensure certified nursing assistants completed annual mandatory training when: 1. Four of six sampled certified nursing assistants (CNA 3, 4, 5, and 6) did not complete required annual training for care of residents with dementia (an impairment in memory, communication and thinking). 2. Two of six sampled certified nursing assistants (CNA 3 and CNA 6) did not complete required annual training for prevention of abuse. These failures had the potential for employees to provide improper or inadequate resident care provision. […]

• No harm, potential for more than minimal, patternF761May 14, 2021

  Based on observation, interview, and record review, the facility failed to ensure that drugs were stored and labeled in accordance with currently accepted professional standards when: 1. Inside the medication room, a bottle of [MEDICATION(S)] (treats [CONDITION(S)] disease) [MEDICATION(S)] 50 milligram (mg.)/5 milliliter (ml.) syrup was not stored according to manufacturer's recommendation. This failure had the potential to result in decreasing efficacy of the medication. 2. Inside medication cart, 3 North, multiple medications were either stored beyond the expiration date or not labeled with open-on dates. This failure had the potential to result in medication's decreased therapeutic efficacy. 3. […]