Sequoias San Francisco Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Sequoias San Francisco Convalescent Hospital, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 17, 2026

  Based on observation, interview, and facility document review, the facility failed to ensure food contact surfaces of equipment were clean and/or in good repair including:Cutting boards;Muffin pans;Bulk-food bins;Industrial can opener;Ice machines; andItems such as cooking utensils/equipment stored in the dish room (room where equipment/utensils are washed and sanitized and stored before use) when pests were present.The failure to maintain food-contact equipment clean and/or in good repair, had the potential to result in contamination of food leading to food borne illness for 39 residents who received food from the kitchen out of a census of 39. […]

• No harm, potential for more than minimal, widespreadF814Feb 17, 2026

  Based on observation and interview, the facility failed to ensureUsed fat/oil drained from cooking equipment was covered and was discarded to prevent attraction of pests (Cross reference F925). the lids to outside compost and recycle dumpsters were closed.This failure had the potential to attract pests resulting in contamination of food and/or utensils used for eating for 39 residents who received food from the kitchen out of a census of 39. Findings:According to the 2022 Federal Food Code, the standard of practice is receptacles used for refuse inside the food establishment shall be covered when containing food residue and are not in continuous use. Refuse shall be removed from the premises at a frequency to minimize conditions that attract or harbor insects and rodents. […]

• No harm, potential for more than minimal, widespreadF865Feb 17, 2026

  Based on interview and document review, the facility failed to ensure there was an effective, comprehensive, data-driven quality assurance and performance improvement (QAPI) program that included the Food and Nutrition Services (FANS) Department. This failure had the potential to result in not identifying issues and making system improvements in the FANS department eventually leading to contamination of food, food borne illness, and/or decreased quality of food for 39 residents who received food from the kitchen out of a census of 39.Review of the policy and procedure titled Leadership - Interrelationships of Qualified Dietitian and Directo of Dining date of revision 1/2026, showed the Qualified Dietitian meets on a regular basis with the Food and Nutrition department, at a monthly… […]

• No harm, potential for more than minimal, widespreadF908Feb 17, 2026

  Based on observation, interview, and document review, the facility failed to maintain kitchen electrical and mechanical equipment in safe operating condition when:Parts associated with the dishmachine were leaking; andLight covering under a vent hood was missing.The failure to maintain kitchen mechanical and electrical equipment had the potential to result in food contamination from pests attracted to a wet environment, as well as fragments falling into food from an unprotected light bulb for 39 residents who received food from the kitchen out of a census of 39.Findings:Review of the policy and procedure titled Repairs date revised 1/2026, showed the Food and Nutrition Services Department requests equipment repairs in work orders from the Maintenance Department according to established… […]

• No harm, potential for more than minimal, widespreadF921Feb 17, 2026

  Based on observation, interview, and facility document review, the facility failed to ensure sanitary environmental conditions in the kitchen and nourishment room when:Walk-in cooler floors, kitchen tile floor, baseboards were not in good repair and were not clean;Ceiling was not in good repair and not clean;Walls were not in good repair and/or not clean;Vents and fans were not clean;Metal storage racks were not clean;A metal rolling cart was not clean;Caulking (a flexible sealant used to fill gaps) for the 3-comapartment sink (used for cleaning pots and pans) and a walk-in freezer door was not in good repair and/or not clean, and the door gasket for a walk-in refrigerator door was not in good repair;The outer surface of a drainpipe under the 3-compartment sink was not clean;Equipment… […]