Socal Post-Acute Care

In the surveyor’s words

From the most serious findings on record at Socal Post-Acute Care, in the surveyor’s own words.

• Actual harm, isolatedF660Aug 13, 2021

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) received a safe discharge plan from the facility to reduce factors for a readmission to the general acute care hospital (GACH). The facility failed to discharge Resident 1 home without providing the following: 1. Necessary supplies such as medication and gastrostomy tube (G-tube, is a tube inserted through the abdomen that delivers nutrition directly to the stomach) formula feedings. […]

• No harm, potential for more than minimal, widespreadF921Jan 12, 2025

  Based on observation, interview and record review, the facility failed to ensure the facility's trash bin was not overflowing. The facility disposed trash in a bin with overflowing trash and the trash was on the ground of the facility's parking lot. These deficient practices had the potential to attract pest and rodents, that could spread infection and create an uncomfortable environment for residents, staff and the public. Findings: During a concurrent observation and interview on 1/10/2025 at 7:56 PM with the Dietary Director (DD), a variety of trash (open boxes, broken containers, wooden pallets, broken decorations and other scattered items) was observed within the view of residents ' windows in the facility ' s parking lot. […]

• No harm, potential for more than minimal, patternF814Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure the garbage disposal area was free of clutter by leaving the dumpster surrounded by used cardboard boxes and empty plastic containers. This failure had the potential to attract pests such as rats, cockroaches, flies, and ants, which may spread disease to the residents of the facility. Findings: During a concurrent observation and interview on 3/3/2026 at 7:42 AM with the Maintenance Director (MD) at the facility's garbage disposal area, the ground was cluttered with garbage. Next to the main dumpster there were both constructed and deconstructed cardboard boxes stacked on top of each other. Directly adjacent to the dumpster were at least ten empty plastic containers stacked on top of each other. […]

• No harm, potential for more than minimal, patternF880Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to implement the facility's infection control policy and procedure by failing to: 1.Ensure the two pillows were not place on the handwashing sink and ensure Family Member (FM) for Resident 64 who was on contact precaution (infection control measures used to prevent the spread of infections transmitted through direct or indirect contact) wore appropriate personal protective equipment (PPE - clothing and equipment that is worn or used to provide protection against hazardous substances and/or environments) when in contact with the resident. 2. Ensure Certified Nursing Assistant (CNA 4) performed hand hygiene (the act of cleaning your hands to remove germs, dirt, and viruses) when feeding. […]

• No harm, potential for more than minimal, patternF755May 7, 2025

  Based on observation, interview, and record review the facility failed to account for and administer medications as ordered by the physician for two of two sampled residents (Resident 1 and Resident 2), by failing to: 1. Account for Resident 1 ' s Dilaudid 4 mg tablet bubble pack (also known as a blister pack, a card that packaged doses of medication within small, clear plastic bubbles [or blisters] for easy and safe administration) and the Controlled Medication Count Sheet (CMCS, form used to keep track of how much of a controlled medication was on hand, how much was given to a resident, and how much remained) for the bubble pack. 2. Administer Resident 2 ' s Alprazolam 0.25 mg tablet on 5/4/2025 at 3:30 AM (55 minutes earlier than what was ordered by the physician). 3. […]