Whittier Pacific Care Center

In the surveyor’s words

From the most serious findings on record at Whittier Pacific Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 27, 2024

  Based on observation, interview, and record review, the facility staff failed to ensure one of two sample residents (Resident 4) was free from accident hazards to prevent injury during transfer from bed to the shower gurney (also called a shower bed, used to transport an immobile person to and from a bathing area) using the mechanical lift (device used to assist with transfers and movement of individuals who require support for mobility beyond manual support), on 2/16/2024 by failing to: 1. Ensure Resident 4's bed siderails were down and not left raised (elevated at higher position) while the resident was being transferred with the mechanical lift from the bed to the shower gurney. 2. […]

• No harm, potential for more than minimal, widespreadF814Jan 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure two of four outdoor refuse containers (a waste container that a person controls that includes dumpsters, trash cans, garbage pails, and plastic trash bags) was closed with a tight-fitting lid and kept covered. This failure had the potential to attract insects and harbor pests in the refuse area that can cause a wide spread of diseases and affect the residents, staff, and visitors. Findings: During a concurrent observation and interview on 1/28/2025 at 9:17 AM with the Dietary Supervisor (DS) at the facility ' s courtyard, two outdoor refuse containers were observed with no secured lid covered and no other staff was around throwing trash into the refuse containers. […]

• No harm, potential for more than minimal, patternF656Mar 13, 2026

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive, person-centered care plan (a treatment plan that focused on the needs and preferences of a resident or individual) for three of 25 sampled residents (Resident 90, 91, and 100) by failing to: a. Develop and implement a care plan for Resident 90's Gastro-jejunal (GJ tube, two main ports labeled G leading to the stomach for draining air or fluid and J bypassed the stomach to deliver nutrition directly into the small intestine, used for feeding and medicine) tube and implement a care plan for Resident 90's GJ tube formula feeding. b. […]

• No harm, potential for more than minimal, patternF688Mar 13, 2026

  Based on observation, interview, and record review, the facility failed to assess and implement range of motion ([ROM] full movement potential of a joint) interventions for one of five sampled residents (Resident 6) reviewed for ROM limitations by failing to: 1. Complete Resident 6's Joint Mobility Screen ([JMS] brief assessment of a resident's range of motion in each joint of both arms and legs) (Occupational Therapy [(OT) profession aimed to increase or maintain a person's capability of participating in everyday life activities]) - Upper Extremities (arms) to assess ROM in both arms after readmission on [DATE] and 3/7/2026 in accordance with the facility's policy and procedure (P&P) titled, Screening, dated 8/10/2023. 2. […]

• No harm, potential for more than minimal, patternF812Mar 13, 2026

  Based on observation, interview, and record review the facility failed to procure, store, prepare, and serve food under sanitary conditions in accordance with the facility's policy and procedures titled Sanitation and Infection Control and Refrigerator/Freezer Storage by failing to: a. Discard six bags of turkey slices, three bags of ham slices, and one bag of pork patties that were expired from the walk-in freezer. Properly label the used by date for six bags of turkey slices, three bags of ham slices, and label the open and used by date for one bag of pork patties. b. […]