South Coast Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Apr 19, 2022

  Based on interview, facility document review, and facility P&P review, the facility failed to implement their infection control program and practices designed to help mitigate the development and transmission of infections in accordance with the facility's P&P. * The facility failed to implement their infection control surveillance program between the months of February 2021 and March 2022. The facility conducted surveillance of resident infections based only on the residents who were prescribed antimicrobials (medications used to treat infections). […]

• No harm, potential for more than minimal, patternF578Jul 31, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to provide the option to formulate an advance directive for five of seven final sampled residents (Residents 10, 158, 163, 169, and 213) reviewed for advance directives. * Residents 10, 158, 163, 169, and 213 were not given the option to formulate an advance directive. These failures had the potential to prevent Residents 10, 158, 163, 169, and 213 healthcare and treatment decisions from being honored.Findings: Review of the facility's P&P titled Advanced Directive dated 3/2022 showed the purpose of the advance directive was to provide residents the opportunity to make decisions regarding their healthcare. […]

• No harm, potential for more than minimal, patternF584Jul 31, 2026

  Based on observation, interview, facility record review, the facility failed to ensure comfortable water temperatures for seven nonsampled residents (Residents 49, 64, 73, 107, 114, 144, and 184) with the rooms in Hallway A.* Residents 49, 64, and 114 stated their showers were not provided with enough warm water temperatures.* Residents 73, 107, 144, and 184 stated the water temperature in their rooms' adjoining restroom sinks were cold at night.These failures resulted in the residents not being provided water at a comfortable temperature for bathing, hand hygiene, and incontinent cares. Findings: 1. On 7/28/26 at 1029 hours, an interview was conducted with Resident 49. Resident 49 stated his room is Resident Room A and the shower temperature in Shower Room A was too cold. […]

• No harm, potential for more than minimal, patternF697Jul 31, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary pain management care and services for three of 35 final sampled residents (Residents 4, 6, and 222) and one of one nonsampled resident (Resident 248). * The facility failed to provide nonpharmacological interventions prior to administration of acetaminophen (a prescription medication used to manage mild pain) to Resident 248. In addition, the acetaminophen medication was administered when the resident's pain level did not meet the ordered parameters for moderate pain. * The facility failed to administer the hydrocodone-acetaminophen (narcotic pain medication) according to the physician's orders for Residents 4 and 222. […]

• No harm, potential for more than minimal, patternF804Jul 31, 2026

  Based on observation, interview, and facility P&P review, the facility failed to ensure the food prepared for the residents was cooked to preserve nutritive value for 233 of 237 residents receiving food prepared in the kitchen. * The vegetables were cooked more than one hour prior to meal service and held in the steamer with a temperature set on 212 to 220 degrees Fahrenheit. This failure had the potential to affect the nutritive content of the food, and the amount of food the residents consume, potentially resulting in a decrease in residents' food intake leading to poor nutrition and health outcomes.Findings: Review of the facility's Diet Type Report dated 7/27/26, showed 233 of 237 residents consumed food prepared in the kitchen. […]