Veterans Home Of California - Redding

In the surveyor’s words

From the most serious findings on record at Veterans Home Of California - Redding, in the surveyor’s own words.

• Actual harm, patternF726Nov 23, 2021

  Based on observation, interview and record review the facility failed to provide competent emergency basic life support immediately when one out of three residents (Resident 1) was experiencing a Foreign Body Airway Obstruction (FBAO), a choking episode. Nine out of nine facility staff members, including Certified Nurse Assistants (CNA 1, CNA 2), Licensed Vocational Nurses (LVN 1, LVN 2), Registered Nurse (RN 1), Quality Assurance Director (QAD), Supervising Registered Nurse (SRN), Charge RN (CRN) and Recreation/Activities staff (RA 1), failed to respond as trained with the basic emergency life support intervention. […]

• Actual harm, isolatedF689Aug 20, 2025

  Based on observation, interview, and record review, the facility failed to reassess fall risk factors and update the care plan interventions for 1 of 3 sampled residents (Resident 2), who was identified as being at high risk for falls. This failure resulted in Resident 2's unwitnessed fall, transfer to the acute care hospital for evaluation and treatment, and subsequent admission due to several broken ribs and a broken right collarbone on 8/3/25 (refer to Intake 2581256).Findings: During a concurrent observation and interview on 8/20/25 at 11:35 AM with Resident 2 in his room, Resident 2 was observed with multiple purplish black discolorations on the right side of his trunk, right side of his head/face, and some small, scattered purplish black discoloration on his right arm. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary conditions in the food service department when: 1. Equipment was not replaced when considered unsafe, 2. Foods were found uncovered in the storage area, 3. Foods were not labeled appropriately, 4. Unsafe food was not discarded. These failures had the potential to expose residents to food contamination and foodborne illnesses (sickness by consuming contaminated food or drinks) for a population of forty-one residents who consume food from the kitchen. Findings: 1. During a concurrent observation and interview on [DATE] at 8:21 a.m. with the Dietetics Assistant Director (DAD) in the main kitchen, a can opener was found with metal chipped off the cutting tip. […]

• No harm, potential for more than minimal, widespreadF814Apr 25, 2024

  Based on observation, interview, and record review the facility failed to ensure that two out of eight dumpsters were covered for the main and the satellite kitchens. This failure had the potential to attract pests, rodents and spreading bacteria and leading to food contamination for a population of forty-one residents. Findings: During a concurrent observation and interview on 4/22/24 at 9:05 a.m., with the Assistant Administrator (Admin 2), one out of four trash dumpsters for the main kitchen was not covered, exposing trash. […]

• No harm, potential for more than minimal, widespreadF801May 4, 2023

  Based on observation, interview, and record review the facility failed to ensure qualified leadership staff when 1. There was no qualified, dedicated full time staff to oversee food services for the Skilled Nursing Facility (SNF) kitchen and residents since at least November 2022. 2. The department was short staffed by 23 out of 65 budgeted positions, including eight leadership/supervisorial positions, and no food service manager since November 2022, resulting in closure of the SNF kitchen. 3. […]