Sunnyvale Post-Acute Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 18, 2024

  Based on observation, interview and record review, the facility failed to ensure safe and sanitary conditions were maintained for food storage according to standards of practice and facility policy when: 1. Two bins with thawed, soft mighty health shake cartons were stored in a reach-in refrigerator with expired dates. 2. A 3-door reach-in refrigerator and a walk-in refrigerator did not have internal thermometers to monitor temperature. 3. A large yellow onion with 3 dark grayish green colored spots resembling mold on it was found in case of yellow onions in the dry storage room. 4. A plastic container half full of tuna salad stored was stored inside the walk-in refrigerator and did not have a use by date. 5. […]

• No harm, potential for more than minimal, widespreadF880Oct 18, 2024

  Based on observation, interview, and record review, the facility failed to follow infection control practices when: 1. One certified nursing assistant (CNA) did not wash hands after providing care between two residents (Residents 96 and 52) who were on transmission-based precautions (are used to help stop the spread of germs from one person to another); 2. One resident (Resident 149)'s nasal cannula (a small plastic tube, which fits into the person's nostrils for providing supplemental oxygen) oxygen tubing was not changed after seven days according to facility policy; 3. The facility failed to ensure there was a plan in place to prevent the growth of Legionella (a bacteria that is found in water and can cause illness) in the facility's water supply; 4. […]

• No harm, potential for more than minimal, widespreadF908Oct 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure the dish machine consistently provided accurate temperatures and properly function for cleaning and sanitizing dishes, according to manufacturer's guidelines and standards of practice. This failure had the potential to result in widespread foodborne illness for 97 residents consuming food in the facility. (Cross Reference F802 and F812) Findings: During the initial kitchen tour on 10/14/24 starting at 8:22 a.m., the mechanical dishwashing process was observed. The dish machine did not reach the posted manufacturers' specifications of 120 F (degrees Fahrenheit) for both the wash and rinse cycles. The wash cycle on the machine was 110 F-115 F. Similarly, the rinse cycle was 110 F-115 F. […]

• No harm, potential for more than minimal, patternF684Jul 11, 2025

  Based on interview and record review, the facility failed to ensure care and services were provided in accordance with professional standards of practice for one of three residents (Resident 1) when the facility did not administer medication as ordered by a physician for Resident 1. This failure had the potential to compromise the resident's health and care.Review of Resident 1's Face Sheet (front page of the chart that contains a summary of basic information about the resident) indicated Resident 1 was admitted on [DATE] and had diagnoses including essential hypertension (HTN-high blood pressure), hypotension (low blood pressure), and epilepsy (an abnormal activity in the brain causing seizures [uncontrollable jerking movements of the arms and legs, and loss of consciousness]). […]

• No harm, potential for more than minimal, patternF550Oct 18, 2024

  Based on observation, interview, and record review, the facility failed to ensure respect and dignity was maintained for three of four residents (Resident 83, 91, and 249) when: 1. Registered nurse F (RN F) addressed Resident 83 and 91, mama; and 2. Certified nursing assistant G (CNA G) addressed Resident 249, mama. These failures had the potential to affect the emotional and psychosocial well-being of the residents. Findings: 1. Review of Resident 83's face sheet (summary page of a patient's important information) indicated, Resident 83 was admitted to the facility with diagnoses including dementia (a progressive state of decline in mental abilities) with other behavioral disturbance (a pattern of persistent, inappropriate behaviors or emotions that can cause problems in person's life)… […]