Zuckerberg San Francisco General Hosp & Trauma SNF

In the surveyor’s words

From the most serious findings on record at Zuckerberg San Francisco General Hosp & Trauma SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 19, 2024

  Based on observation, interview, and record review, the facility failed to store food for 15 out of 15 sampled residents in accordance with professional standards for food service safety when: 1. floors in the building 5 kitchen had a build-up of grease, grime, debris, and food crumbs, this had the potential for microorganism growth and to attract pests. 2. an ice machine had rust-colored residue on the bottom ledge of the ice bin, this had the potential to contaminate the ice 3. […]

• No harm, potential for more than minimal, widespreadF801Jun 8, 2023

  Based on observations, interviews, and document reviews the facility failed to ensure full-time Dietetic Services oversight for sufficient hours to effectively carry out the day-to-day functions of safe dietetic operations to meet the nutrition needs of 23 residents according to standards of practice when: 1. A nourishment pantry room had dirty ceiling panels and a vent with gray lint blowing out, 2. Resident's ice cream cups were stored and comingled in the staff lounge freezer, 3. A pink substance found in the nourishment pantry room ice machine chute, 4. […]

• No harm, potential for more than minimal, widespreadF812Jun 8, 2023

  Based on observation, interview, and record review the facility failed to ensure safe and sanitary food service operations were carried out according to standards of practice when: 1. expired foods were found in two walk-in refrigerators located in the main food production kitchen and basement food service kitchen, 2. ceiling panels and an air vent in the nourishment pantry room were dirty with large gray and black stains, and thick gray lint particles were hanging out, 3. resident foods were not stored separately from staff foods, and 4. a pink sticky substance was found inside the rim of the ice machine chute located in the nourishment pantry room. These failures had the potential to expose 23 of 23 residents to harmful contaminants that could cause foodborne illness. […]

• No harm, potential for more than minimal, widespreadF882Jun 8, 2023

  Based on interview and record record review, the facility failed to have a full time Infection Preventionist designated for the facility. The facility failure has the potential for the lack of oversight to the infection control prevention and control program. Findings: During an interview on 6/7/23, at 2:34 PM, Infection Preventionist (IP) stated, I am the Infection Preventionist for the whole hospital, both for the Skilled nursing facility and the general acute care part of the hospital. […]

• No harm, potential for more than minimal, patternF656Jul 19, 2024

  Based on interview and record review, the facility failed to develop a comprehensive care plan (CP) for each resident that included measurable objectives and specific interventions for two of eight sampled residents (Residents 14 and 7) when: 1. No individualized person-centered CP was developed for the use of Citalopram (Celexa - brand name of drug used to treat depression) for Resident 14. 2. For Resident 7, the CP did not have specific interventions for end stage renal disease [ESRD - when the kidneys are no longer able to work at a level needed for day-to-day life that requires a regular course of dialysis (a type of treatment that helps your body remove extra fluid and waste products from your blood when the kidneys are not able to)]. […]