Lompoc Valley Medical Center Comprehensive Care Ce

Inspectors wroteBased on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards on food safety when the cook (Cook 1) was observed using his apron to wipe his face with a gloved hand during food tray preparation. This failure had the potential for contamination that may cause Foodborne illness (food poisoning - results from consuming food or drinks contaminated by bacteria, viruses, or parasites). During an observation on 3/23/26 at 12 p.m., in the kitchen during food tray preparation, [NAME] 1 was observed grabbing his apron and wiping his face with his left gloved hand. During an interview on 3/23/26 at 3:30 p.m., with the Food Service Director (FSD), FSD stated that [NAME] 1 should have removed his gloves, washed hands, and then donned on new gloves before proceeding with the food preparation. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored and labeled according to the manufacturer's specifications and facility process/practice. This failure could potentially expose residents to expired supplies with questionable efficacy and the facility could not ensure medications were safely stored to ensure their integrity. [...]

Inspectors wroteBased on interview and record review, the facility failed to submit required staffing and payroll data to the Centers for Medicare & Medicaid Services (CMS) through the Payroll Based Journal (PBJ) system (the federally mandated mechanism used by long term care facilities to report staffing information regularly to ensure completeness and accuracy of data submitted to CMS). This facility failure has the potential to result in not having accurate and timely staffing information necessary to evaluate the facility's compliance with federal staffing requirements.

Inspectors wroteBased on interview and record review, facility failed to administer a prescribed medication (Bimatoprost - medicine to lower pressure in the eye) and notify the physician per professional standards of practice and facility policy and procedure (P&P) for one of three sampled residents (Resident 2). This failure led to Resident 2 missing 22 doses of the prescribed medication, and had the potential to cause worsening glaucoma (condition that damages the optic (eye) nerve due to high eye pressure), vision changes, and increased eye pressure. [...]

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to follow professional food storage standards for labeling food in 1 of 1 walk-in freezer in the facility kitchen.

Inspectors wroteBased on interview and record review the facility failed to implement abuse prevention policy when two residents (Resident 1 and 2) had an alleged abuse incident on 7/17/24 for which no interventions were implemented for two days after the alleged physical abuse incident occured. The facility's failure had the potential for the physical abuse incident to reoccur within those two days.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff was available to answer a resident's call light for one of two residents (Resident 1), when the resident requested assistance to go to the bathroom for toileting needs. This failure had the potential for the resident to be incontinent and also cause psychosocial harm.

Inspectors wroteBased on interview, record review, and facility policy and procedure (P/P), the facility failed to ensure the environment was free of accidents when one of three residents (Resident 1's) wheelchair was not safely maintained. Resident 1's wheelchair left lock was broken. This facility failure resulted in Resident 1's wheelchair sliding backwards and the resident sustaining an assisted fall from the wheelchair.

Inspectors wroteBased on interview and record review, the facility failed to provide evidence that an allegation of abuse was thoroughly investigated for one of two residents (Resident 1). This failure had the potential for further abuse to occur to residents.

Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food and ice in accordance with professional standards when: 1. ambient room temperature foods were not monitored for cooling, and 2. two of three ice machines had a pink substance on the ice machine chute and had not been cleaned and sanitized routinely. These failures had the potential to result in the growth of microorganisms for 79 residents at the facility.

Inspectors wroteBased on record review and interview, the facility failed to ensure: 1. An order for fingerstick blood sugar (pricking of finger to get blood sample for reading via a small device) for a resident with the condition of Type 2 diabetes (an impairment in the production of insulin- hormone regulating sugar in the blood) was clarified and with physician orders when it was discontinued in one of 18 sampled residents (Resident 24). This failure placed Resident 24 at risk to developed hypoglycemia (low blood sugar ) or hypoglycemia (high blood sugar) with no monitoring and intervention causing a sudden change in the resident's condition. 2. Indwelling urinary care ( IUC-plastice device inserted into the urinary area for urine passage) was documented for one of 18 sampled residents (Resident 16). [...]

Inspectors wroteBased on observation and interview the facility failed to ensure a resident with impaired upper mobility was provided with other form of communication system or device to call for assistance for one of 18 sampled residents (Resident 60). This failure has the potential for Resident 60 to be isolated, and unmonitored for communication needs .

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure: 1. Hydration needs were met for Resident 61 when a water pitcher was not accessible to the resident. This failure placed the resident at for dehydration (lack of fluids body needs daily). 2. Nutritional needs were met for Resident 77 when meal intakes were not documented accurately for the resident. This failure placed the resident at risk for for weight loss and malnutrition ( inadequate nutritional consumption).

Inspectors wroteBased on record review and interview, the facility failed to ensure residents with dementia (impaired memory) and taking psychotropic medications (mood and behavior modification medications) were monitored for possible side effects or adverse reactions that might cause some altered level of consciousness, falls, changes in movement and overall condition in two of 18 sample residents (Residents 24 and 48). This failure placed the residents at risk for changes in condition that had the potential to impeded their ability to attain their highest psychosocial , physical and mental wellbeing.

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure medications are not expired for one unsampled resident (Resident 19). This failure had the potential for the resident to be medicated with a medication that has no strength or effectiveness to treat.

Inspectors wroteBased on observation, interview, and record review, the facility failed to accommodate food preferences for two residents (Resident 76 and 30). This failure had the potential not to meet residents' food preferences and may lead to a decreased meal intake and nutritional consequences.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure infection control practices were followed when: 1. An employee entered a resident's room (Resident 230 room [ROOM NUMBER]-A) without donning (to put on) appropriate PPE (personal protective equipment) when the resident was on transmission-based precautions for Covid-19 (acute respiratory illness in humans caused by the coronavirus). 2. Resident 70's foley catheter (device inserted in the urinary area for urine passage) collection bag was touching the floor. 3. Resident 70's nasal cannula tubing (NC- device to deliver supplemental oxygen to the nostrils) was not dated. 4. Staff stored personal items in medication cart containing resident medications. 5. [...]