St. John's Hospital Camarillo D/P SNF

In the surveyor’s words

From the most serious findings on record at St. John's Hospital Camarillo D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Mar 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure sanitary conditions within the food service operation when: 1. A nutrition assistant (NA 1) removed dirty gloves after handling dirty dishes, and put on a new pair of gloves, without washing her hands. 2. The high temperature dish machine manufacturer's guidelines were not followed. 3. Posted manufacturer's guidelines for contact time of food service equipment immersed in the sanitizer solution at the three (3) compartment sink was not followed. […]

• No harm, potential for more than minimal, patternF636Mar 24, 2023

  Based on observation, interview, and record review, the facility failed to accurately assess and document 13 out of 18 sampled residents' (8, 71, 53, 59, 41, 4, 25, 65, 35, 63, 43, 34, and 48) Minimum Data Set (MDS- assessment tool to assess all residents' functional capabilities and facilitate care management in nursing homes) assessments for Section P (Physical Restraints) when quarter siderails were used and were coded as zero (not used). This facility failure resulted in inaccurate comprehensive assessments for 16 residents with restraints and had the potential for physical harm. Findings: During a review of the facility's policy and procedure (P&P) titled, Assessment Instrument, Resident/Patient, last reviewed 8/20, the P&P indicated, in part . […]

• No harm, potential for more than minimal, patternF656Mar 24, 2023

  Based on observation, interview and record review, the facility failed to initiate and implement care plans for six out of 18 residents when: 1. Resident 35's care plan for position and mobility was not implemented. 2. Resident 35' has no careplan for the use of the medication Doxycline (an antibiotic/medication used to treat infections). 3. Resident 48's care plan for position and mobility was not implemented. 4. a.) Resident 4's care plan for pressure ulcer was not implemented. b.) Resident 25's care plan for pressure ulcer was not implemented. 5. Resident 48's care plan for refusal of SCDs (sequential compression device- wraps placed around the patient's lower legs in order to decrease the chance of blood clot formation) was not initiated. 6. […]

• No harm, potential for more than minimal, patternF812Mar 24, 2023

  Based on observation, interview and record review, the facility failed to maintain safe food storage practices when food was available for use past the facility's use by date (a date determined by the facility to dispose of opened food items). This failure had the potential to result in foodborne illnesses. Findings: During a concurrent observation and interview, on 3/21/03, at 9:34 a.m., with Nutrition Services Product Manager (NSPM), and Quality Manager (QM), in the kitchen, the following opened, partially used food items were found, available for use, past their use by date: 1 bag feta cheese, use by 3/10/23 1 bag parmesan cheese, use by 3/12/23 1 bag swiss cheese, use by 3/13/23 1 bag monterey jack cheese, use by 3/13/23 1 bag corn tortillas, use by 3/17/23 1 jar dijon mustard, use by… […]

• No harm, potential for more than minimal, patternF842Mar 24, 2023

  Based on observation, interview, and record review, the facility failed to ensure their policy and procedure for restraints use was followed for 14 of 18 sampled residents (Residents 63, 43, 8, 53, 1, 48, 25, 4, 35, 41, 34, 65 and 59) for the use siderails were with incomplete consents and no consent for siderail use on Resident 327. This facility failure placed residents at risk for being restrained with no proper and complete consents. Findings: During a review of the facility's policy and procedure (P&P) titled, Safety And Physical Restraints; Patient/Resident, last reviewed 8/20, the P&P indicated in part . […]