The Springs at Pacific Regent

In the surveyor’s words

From the most serious findings on record at The Springs at Pacific Regent, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary measures were met in the kitchen during dietary operations according to standards of practice when:1. On the clean dish rack there was a cracked 7.5 quart plastic cambro container, two serving dishes that had food particles stuck on them and four wet mixing bowls stacked on a shelf.2. Refrigerated food items had a white, fuzzy substance growing on them and were stored alongside unspoiled food products. Two refrigerated peeled and cut cucumbers were wrapped in plastic and not labeled or dated.3. A large cambro container in the warming oven had a yellow, clear, liquid substance in it that was labeled as olives. Food particles and crumbs were in the drawers and on the shelves of the prep cart. […]

• No harm, potential for more than minimal, patternF880Jul 11, 2024

  Based on interview and record review, the facility failed to maintain an effective infection control program when the facility did not: 1. Report coronavirus (COVID-19: A highly contagious respiratory disease caused by the SARS-CoV-2 virus) outbreaks to the local/state public health officials in a timely manner. 2. Review the facility infection control policies and procedures on an annual basis during a COVID-19 outbreak (a sudden increase in occurrences of a disease when cases are in excess of normal expectancy for the location or season) at the facility. These failures had the potential to increase the risk of healthcare-associated infections for staff, residents, and visitors in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF656Mar 8, 2024

  Based on interview and record review, the facility failed to develop and implement person-centered care plans related to the monitoring and inspection of bed alarms (auditorial alarms that alerts caregivers when patients leave or attempt to leave their beds), for three of three residents (Resident 1, 2, and 3), reviewed for accidental falls. As a result, there was the potential for Resident 1, 2, and 3 ' s bed alarms to not be monitored for functionality and staff were unaware of the bed alarms were in use. Findings: 1. […]

• No harm, potential for more than minimal, isolatedF655Aug 6, 2025

  Based on interview and record review the facility failed to ensure the baseline care plan included person-centered care during mealtimes for one of fourteen residents (Resident 86) within 48 hours of the resident's admission. This failure to develop the baseline care plan within 48 hours of admission for mealtime assistance resulted in the resident calling to request mealtime set ups multiple times a day continuously since admission. Findings:A review of the facility's admission Record indicated Resident 86 was readmitted to the facility on [DATE] with diagnosis including Pigmentary Retinal Dystrophy (an inherited eye disorder that causes loss of sight). On 8/3/25 at 9:10 A.M., an interview was conducted with Resident 86. […]

• No harm, potential for more than minimal, isolatedF755Aug 6, 2025

  Based on interview and record review, the facility failed to provide proper pharmaceutical services when the Medication Administration Record (MAR) and Controlled Medication Count Sheet (CMCS) did not reconcile for two randomly selected residents (Resident 91 and 61). This failure had the potential to place Resident 91 and Resident 61 at risk for inaccurate pain medication administration and/or diversion (illegal distribution or abuse of prescription drugs) of controlled medications (medications that the use and possession of are controlled by the federal government). Findings:1. […]