Trabuco Hills Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 15, 2023

  Based on observation, interview, facility document and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed when: * Time/temperature control for safety (TCS) foods (food that require time/temperature control for safety to limit pathogenic microorganism growth or toxin formation) were not cooled properly. * Proper hand hygiene was not followed. * Thawed meat was not dated. * Hair restraints were not worn inside the kitchen. These failures had the potential to cause food borne illness in a medically vulnerable population of residents who consumed food prepared in the facility kitchen. Findings: 1. […]

• No harm, potential for more than minimal, patternF803Mar 4, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the menu was followed for 16 residents who received pureed food. * [NAME] 1 failed followed the recipe when preparing pureed zucchini and yellow squash for the lunch meal on 2/26/26. This failure posed the risk for the residents who received food prepared in the kitchen to not have their nutritional needs met.Findings: Review of the facility's document titled Diet Count by Modification / Portion dated 2/26/26, showed 16 of 161 residents received pureed food preparation from the kitchen, with no restrictions to zucchini and yellow squash. […]

• No harm, potential for more than minimal, patternF812Mar 4, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed. * The dish machine sanitizer ppm was less than the required concentration. * Dietary Aide 2 failed to wash his hands and change his gloves between the handling of dirty dishes and clean dishes. * The food preparation equipment was not air dried. * The food preparation equipment was not properly cleaned. * The wall in the kitchen behind the refrigerator was not clean. * Two meal carts were repaired with methods that were not smooth, cleanable surfaces. […]

• No harm, potential for more than minimal, patternF849Mar 4, 2026

  Based on interview, medical record review, facility document review, and facility P&P review, the facility failed to provide the necessary care and services for three of three residents (Residents 9, 16, and 22) reviewed for hospice services. * The facility failed to ensure Resident 9's facility plan of care included the frequency of visits by each hospice staff. * The facility failed to ensure Resident 16's medical record contained the visit notes by the hospice aide for February 2026, failed to ensure the hospice visitation calendar showed the scheduled hospice staff visits for February 2026 and failed to ensure the hospice plan of care was incorporated into the facility's care plan to include the frequency of visits for each hospice staff. […]

• No harm, potential for more than minimal, patternF880Mar 4, 2026

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure the infection control practices were followed. * The facility failed to ensure the water management program was established and implemented to include the implementation of measures to prevent the growth of Legionella and other opportunistic pathogens; and a way to monitor the measures they had in place. * The facility failed to ensure there were no soiled, stained towels on top of a drawer in the clean linen area and the washing machine had no dust accumulation. * Housekeeping staff's personal water bottle and a cup of vitamins for personal use were stored in the cart with cleaning supplies, paper towels and tissue papers for resident rooms. […]