South Coast Global Medical Center D/P SNF

In the surveyor’s words

From the most serious findings on record at South Coast Global Medical Center D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF583Jan 23, 2025

  Based on observation, interview, and facility P&P review, the facility failed to ensure the residents' PHI was kept confidential for 27 residents. All 27 residents' PHI was displayed on a computer screen and left unattended by the staff member. This failure had the potential to violate the residents' rights to PHI privacy. Findings: Review of the facility's P&P titled Confidentiality of Medical Records revised 8/2023 showed all the information contained within the medical record belongs to the resident and will be kept confidential. Access will be restricted to the authorized users. The records will be viewed by the facility staff member only on a need to know basis. On 1/21/25 at 0914 hours, an ongoing observation was conducted in Hallway 1. […]

• No harm, potential for more than minimal, widespreadF838Jan 23, 2025

  Based on interview and facility document review, the facility failed to ensure the Facility Assessment addressed or included the following: 1. Active involvement of required individuals in developing the Facility Assessment; 2. Resources necessary to care for residents including weekends; 3. Include a plan to maximize recruitment and retention of direct care staff; and 4. Include a contingency plan for staffing needs. This failure placed the residents at risk for unmet care needs if their assessed population's needs and resources were not comprehensively identified and addressed. Findings: According to the CMS QSO-24-13-NH dated 6/18/24, with an implementation date of 8/8/24, CMS issued a revised guidance for long-term care facility assessment requirement. […]

• No harm, potential for more than minimal, patternF689Jan 12, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure four of four residents (Residents 8, 12, 14, and 25) reviewed for accidents remained free from accident hazards. * The facility failed to ensure both side rails were padded for Resident 8, as per the physician's order and as care planned for Resident 8, due to the risk of injury from their seizure disorder. * The facility failed to ensure Resident 12's bilateral side rails were used as per the physician's order and failed to ensure Resident 12's bed was in the lowest position to prevent/minimize any injuries in the event Resident 12 had a seizure episode. […]

• No harm, potential for more than minimal, patternF695Jan 12, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary respiratory services for four of four sampled residents (Residents 7, 10, 12, and 25) reviewed for respiratory care. * The facility failed to ensure Resident 7's ventilator circuit set-up and in-line suction catheter changes were done as per the physician's orders. * The facility failed to ensure Resident 10's ventilator high-pressure alarm was set within a safe parameter. * The facility failed to ensure Resident 12 's oxygen flowmeter was set to the appropriate liter flow to match the aerosol mist setting as per the physician's order. In addition, the facility failed to ensure the flowmeter was in working condition. […]

• No harm, potential for more than minimal, patternF880Jan 12, 2026

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to implement their infection control program in accordance with the facility's P&P. * The facility failed to implement their infection control surveillance program from August 2025 through December 2025. The facility conducted surveillance of resident infections based on whether the residents were prescribed antimicrobial medications. The facility failed to determine whether the residents who exhibited signs and symptoms of infection and were not prescribed antimicrobial medications met the facility's criteria for infection (utilizing McGeer's Criteria). The facility failed to include these residents in the facility's infection control surveillance program. […]