Salinas Valley Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Feb 13, 2026

  Based on observation, interview, and record review, the facility failed to implement infection control and prevention practices when:1. Staff did not wear appropriate personal protective equipment (PPE, clothing and equipment that is worn or used to provide protection against hazardous substances and/or environments, e.g., gloves, mask, gown) when caring for a resident on enhanced-barrier precautions (an infection control practice used to reduce transmission of multidrug-resistant organisms); 2. Licensed Vocational Nurse (LVN) M used the same paper tissue to wipe excess liquid from both eyes during the administration of eye medications for Resident 74; 3. […]

• No harm, potential for more than minimal, patternF658Feb 13, 2026

  Based on observation, interview and record review, the facility failed to provide assessments and services which meet professional standards of quality for 11 of 21 sampled residents (Residents 92, 52, 83, 1, 72, 73, 7, 8, 91, 47, and 9) when the following were observed: 1.Inaccurate bed rail (metal or rigid plastic and adjustable safety bars attached to the sides of the bed) and entrapment risk observation/assessments for Resident 72, 52, 1, and 83; 2.Inaccurate bed rail and entrapment risk observation/assessments for Resident 73, 7, 8, 91, 47, and 9; 3.Treatment nurse C (TN C) applied zinc oxide (topical skin barrier) to wound without a physician's order for Resident 92.These failures had the potential to compromise the health and safety of above sampled residents. […]

• No harm, potential for more than minimal, patternF812Feb 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure dietary staff covered facial hair while working over exposed food in the kitchen. This deficient practice placed 95 residents at risk for receiving contaminated food in the facility. Findings: During an observation of the meal tray line on 2/11/26 at approximately 11:35 a.m., the dietary aide N (DA N) and dietary cook M (DC M ) were observed with visible facial hair and were not wearing beard restraints while working over exposed food in kitchen. Dietary staff were plating and checking meal trays while standing over exposed food items during tray line service. During an interview on 2/11/26 at 2:30 p.m., DA N stated that during tray line he was only checking the food and not handling it. […]

• No harm, potential for more than minimal, patternF578Sep 20, 2024

  Based on interview and record review, the facility failed to follow their policy and procedure (P&P) for an advance directive (AD: a written instruction, such as a living will or durable power of attorney [a document that authorizes to act on behalf of resident] for healthcare when the individual is incapacitated) and completion of physician orders for life-sustaining treatment (POLST: a document that specifies the medical treatments the resident wants to receive during serious illness) form for 9 of 9 sampled residents (Residents 39, 37, 92, 43, 11, 85, 58, 91, and 78). […]

• No harm, potential for more than minimal, patternF700Sep 20, 2024

  Based on observation, interview and record review, the facility failed to ensure the proper use of side rails for six (Residents 303, 304, 91, 44, 75, and 12) of 30 residents when: 1. For Residents 303 and 304, there were no signed informed consents for the use of side rails by the resident or the responsible party for either resident. 2. For Resident 91, the informed consent on file was missing a signature from the resident or responsible party. 3. For Residents 44, 75 and 12, there were no care plans for the use of side rails for any of the three residents These failures had the potential to compromise the resident's rights to fully make informed decisions on the use of side rails, and had the potential to put residents at risk for entrapment or serious injury. Findings: 1. […]