La Vida Llena

Inspectors wroteBased on observation and interview, the facility failed to store and serve food under sanitary conditions when staff failed to ensure: Expired foods were stored in the main kitchen and the serving kitchen. This deficient practice is likely to affect all 46 residents listed on the resident census list provided by the Administrator on 12/15/25 and is likely lead to foodborne illnesses in residents if food is not being stored properly and safe food handling practices are not adhered to.

Inspectors wroteBased on observation and interviews, the facility failed to safeguard clinical record information by leaving Private Health Information (PHI) regarding residents of the 600-nursing unit, where unauthorized people had ability to access it. If the resident's clinical information is not sufficiently safe guarded, resident's PHI is likely to be viewed by unauthorized residents, visitors, and staff.

Inspectors wroteBased on record review and staff interviews, the facility failed to protect and promote the resident's rights to dignity, self-determination, and freedom from unnecessary restrictions for 1 (R #34) of 1 (R #34) resident reviewed for restrictive devices, when: R #34, who was documented as cognitively alert and oriented, was placed on a Wanderguard (a wearable elopement-prevention tracking device) without any documentation of unsafe wandering behaviors or elopement attempts. Additionally, there was no evidence that less restrictive interventions were considered or implemented prior to applying the device. If the facility uses unnecessary restrictive measures, such as a placement of a Wanderguard on cognitively intact residents, then residents are likely to be at risk for significant psychosocial harm and restrictions.

Inspectors wroteBased on record review and interview, the facility failed to complete a significant change in condition (major decline or improvement in the patient's health status) Minimum Data Set (MDS; a federally mandated assessment instrument completed by facility staff) for 2 (R #24 and R #51) of 2 (R #24 and R #51) residents reviewed for hospice care. This deficient practice could likely result in the residents not receiving the appropriate care and services they need.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to protect the residents from the potential for accidents and hazards for 2 (R #s 2 and 24) of 2 (R #s 2 and 24) residents reviewed for falls when the facility: Used a mechanical transfer device (a device designed to help staff move a resident from one place to another within a room or from one position to another) to transfer R #2, who did not require the use of a mechanical transfer device, which led to a fall. Failed to complete a fall risk assessment as required for R #24. Failed to follow R #24's care plan and provide a fall mat. [...]

Inspectors wroteBased on observations and interviews, the facility failed to ensure staff properly stored and secured medications for all residents residing on the 600 unit when: Medication carts were not secured and left unattended during medication pass. Medications were not stored appropriately with loose medications in the medication cart. Expired medical equipment was stored in the unit medication storage room. If the facility fails to secure medication carts, properly store medications, or remove expired medical equipment, then residents are likely to experience unauthorized access to medications and the use of expired drugs, potentially resulting in injury or illness.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to develop an accurate comprehensive, person-centered care plan for 1 (R #27) of 1 (R #27) resident reviewed for care planning when the facility staff failed to: Accurately reflect R #27's use of an antiplatelet medication (prevent blood clots by inhibiting the aggregation of platelets, which can help reduce the risk of heart attacks and strokes). These deficient practices are likely to result in residents not having their needs met, decreased quality of life, and avoidable decline in physical and psychosocial well-being.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide quality care that meets professional standards for 2 (R #24 and #42) of 2 (R #24 and #42) residents reviewed when staff failed to: Obtain physician orders to initiate hospice care for R #24. Follow physician orders to administer the correct dose of a diabetic medication for R #42. These deficient practices are likely to result in residents not maintaining their optimal health as planned by their medical provider.

Inspectors wroteBased on record review, and interview, the facility failed to maintain acceptable parameters of nutritional status for 1 (R #3) of 1 (R #3) resident reviewed for nutrition and weight management when: The facility failed to weigh R #3 monthly as ordered by a physician. This deficient practice is likely to lead to the resident suffering from unplanned weight loss and malnutrition which could exacerbate (make worse) other medical conditions or diseases.

Inspectors wroteBased on record reviews and interviews, the facility failed to prevent a significant medication error for 1(R #34) of 1(R #34) resident reviewed for medication errors when: The facility did not administer R #34's medications accurately as ordered. If the facility fails to review and reconcile insulin orders, discontinue prior orders, verify correct dosing parameters, and prevent duplicate orders, then residents are likely to receive incorrect insulin administration and have uncontrolled blood glucose levels, which could potentially lead to serious harm.

Inspectors wroteBased on observations and interviews, the facility failed to maintain a safe, sanitary environment to prevent transmission of infectious agents and communicable diseases for 1 (R # 39) of 1 (R # 39) resident reviewed for infection control, when: The facility failed to clean and sanitize vital sign equipment (medical tools used to measure and monitor a patient's essential physiological functions; Blood Pressure Monitors and Cuffs), after use on a resident that was placed on enhanced barrier precautions (use of gowns and gloves during high-contact resident care activities). This deficient practice is likely to result in the transmission of infections agents between residents and staff.

Inspectors wroteBased on interviews, observation ,and record review, the facility failed to protect 1 (R #1) of 1 (R #1) resident from exploitation and misappropriation of property by a sales consultant (SC) at a sister facility (a facility owned by the same company) who fraudulently obtained a $1,569 refund for R #1's hearing aids after her death. If the facility fails to prevent employees from misusing their positions to access and exploit resident financial information, then residents are at risk for financial harm.

Inspectors wroteBased on observation and interview, the facility failed to store and serve food under sanitary conditions when staff failed to: 1. Properly store raw salmon. 2. Maintain expired dry storage items. This deficient practice is likely to affect all 50 residents listed on the resident census list, provided by the Administrator on 09/09/24, and could likely lead to foodborne illnesses in residents if food is not stored properly and safe food handling practices are not adhered to.

Inspectors wroteBased on observation, record review, and interview the facility failed to maintain proper infection prevention measures when the facility failed to ensure a resident's oxygen nasal cannula [device that gives you additional oxygen (supplemental oxygen or oxygen therapy) through your nose] did not drag on the hallway floor while the resident sat in her wheelchair and headed to an activity for 1 (R #3) of 1 (R #3) residents. Failure to ensure nasal cannulas are not dragging on the floor of the facility could likely cause the spread of infections and illness to the resident.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that: 1. Raw poultry and fish were stored on the bottom shelf inside the walk-in refrigerator 2. Food items were stored 18 inches below the ceiling inside the walk-in refrigerator 3. Staff preparing food were wearing hair restraints for their facial hair These deficient practices could lead to foodborne illnesses that could affect all 44 residents identified on the census list provided by the Administrator on 06/26/23 who eat food prepared in the kitchen.

Inspectors wroteBased on record reviews, interviews, and observations, the facility failed to provide proper infection control practices by: 1. Not performing hand hygiene between resident care 2. Failing to ensure the glucometer's (a medical device to measure glucose [sugar] levels in the blood) are disinfected by manufacturer's protocol 3. Failing to properly disinfect the mobile vital signs machine after use in a resident room who was on isolation precautions (create barriers between people and germs) 4. Failing to cover clean clothes while delivering them 5. Failing to correctly pick up dirty laundry These deficient practices could likely result in the spread of infection agents (viruses and bacteria) between residents and/or staff.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program by not ensuring the facility was free from pests. This deficient practice could likely expose all 44 residents listed on the resident census, provided by the Administrator on 06/26/23, to contaminated food products and spread of disease/infection [by way of a carrier (cockroaches)], which could lead to illness in the residents.

Inspectors wroteBased on record review and interview, the facility failed to develop and implement a comprehensive person-centered care plan for 4 (R #'s 17, 19, 39 and 40 ) of 8 (R #'s 17, 19, 25, 32, 35, 37, 39 and 40) residents. Failure to develop and implement a person-centered care plan could likely result in staff's failure to understand the needs, and implement the appropriate treatments for residents; possibly resulting in decline in abilities and a failure to thrive.

Inspectors wroteBased on record review and interview, the facility failed to complete an accurate baseline care plan for 1 (R #193) of 1 (R #193) resident reviewed for baseline care plans. This deficient practice could likely result in staff not being aware or familiar with resident needs and/or preferences.

Inspectors wroteBased on record review and interview, the facility failed to provide a comprehensive care plan after seven (7) days of completing the MDS assessment for 1 (R #193) of 1 (R #193) resident reviewed for comprehensive care plans. This deficient practice could likely result in staff not being aware of a resident's needs and preferences.

Inspectors wroteBased on observation, interview, and record review, the facility failed to complete an accurate Medication pass for 1 (R #7) of 8 (R #5, R #7, R #18, R #34, R #193, R #293, R #294, and R #295) residents reviewed for medication pass by not: 1. Ensuring narcotics (pain medications) were placed behind two (2) locks; 2. Ensuring medications remained in the original container. These deficient practices could likely result in missing medications, or residents not receiving the correct medication.