Saratoga Retirement Community Health Center

In the surveyor’s words

From the most serious findings on record at Saratoga Retirement Community Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jan 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper food handling techniques in the kitchen when several wet metal containers were stacked while still wet and dry storage room walk-in refrigerator, and freezer had expired and unlabeled food. There se failures had the potential to expose 62 residents receiving food from the kitchen to food-borne illness. Findings: During an observation and subsequent interview with the director of dining (DD) on [DATE] at 10:43 a.m., the following items were observed in the walk-in refrigerator and freezer: -unlabeled four bags of green beans -unlabeled four bags of chicken breast filets -unlabeled one bag of hash brown -one container of goat cheese with an expiration date of [DATE] -one large container of sugar with an… […]

• No harm, potential for more than minimal, patternF803Oct 21, 2022

  Based on observation, interview, and record review, the facility failed to ensure the planned menu was followed for seven residents on Pureed diet (texture modified diet for people who have difficulty chewing and swallowing) and nine residents on Mechanical soft diet (texture modified diet for people who have difficulty chewing and swallowing). This failure had the potential to result in not meeting the nutritional needs of the residents. Findings: Review of the facility menu California Diet Guide Sheet for Tuesday 10/18/2022 lunch indicated the followings; sweet chili roasted chicken pureed # 8 Scoop (1/2 cup) for the Pureed diet and 4 oz (ounce, a unit of weight) for the Mechanical soft diet. During an observation of the lunch meal service on 10/18/22 at 11:52 a.m. […]

• No harm, potential for more than minimal, patternF812Oct 21, 2022

  Based on observation, interview, and facility document review, the facility failed to follow proper sanitation and food handling practices when: 1. There were food remains on a food container in dry storage area; 2. There was an outdated food item in dry storage area; and 3. Steam table pans were stacked and stored wet. These failures had the potential to cause food contamination and food-borne illness to 63 of 64 residents who received their food from the kitchen. Findings: 1. During the initial kitchen tour on 10/17/22 at 9:50 a.m., a plastic container of peanut butter with peanut butter remains on the lid and opening area were observed in the dry storage area of the kitchen. […]

• No harm, potential for more than minimal, isolatedF732Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to ensure the nurse staffing information was posted clearly visible in a prominent place that was readily accessible to residents and visitors. This failure had the potential to result in nurse staffing misinformation about resident's care. Findings: During a concurrent observation and interview on 4/25/25, at 11:33 a.m., with the Director of Nursing (DON), in nurse station 1 (NS 1), the nurse staffing information was posted on the wall behind the nurse's station. The DON confirmed the observation and stated the location of the nurse staffing information was not visible to the residents and should be in front of the nurse's station. […]

• No harm, potential for more than minimal, isolatedF695Jan 8, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure physician's orders were followed related to supplemental oxygen administration for 1 (Resident #12) of 1 sampled resident reviewed for respiratory care. Findings included: A facility policy titled, Oxygen/Respiratory Therapy & Safety, last revised 01/2020, revealed, Policy: It is the policy of the Company that: a. Oxygen/respiratory equipment will be operated, cleaned and maintained to optimize functions, safety and prevent infections. b. Oxygen therapy is provided in accordance with physician orders. Procedure: Obtaining orders and documentation: 1. All oxygen and oxygen saturation orders and/or parameters are clarified on admission. 2. […]