Victoria Post Acute Care
VICTORIA POST ACUTE CARE in EL CAJON, CA — inspection on July 24, 2024.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F600)
Findings:
Resident 1 was admitted to the facility on [DATE] with diagnoses which included a history of non-traumatic intracranial hemorrhage (a brain attack that caused bleeding in the brain).
A record review of Resident 1 ' s Minimum Data Set (MDS- assessment tool) dated 5/24/24, indicated a Brief Interview for Mental Status (BIM- developed by reviewing the resident's status during the prior seven day period) score of 15 out of 15 possible points which indicated Resident 1 had no cognitive (pertaining to memory, judgement, and reasoning ability) deficits.
An interview was conducted on 7/16/24 at 10:15 A.M., with the Social Services Director (SSD).
The SSD stated that on 5/29/24, Resident 1 complained that a licensed nurse (LN) 1 mishandled (to treat roughly) him during care.
The SSD stated she did not complete a five (5) DAY REPORT (a full investigation that includes sufficient information for up to five days to monitor and protect a resident from any suspected abuse or neglect) or report this to the State Agency because a grievance was completed.
The SSD stated that Resident 1 and his daughter were okay with it.
The SSD stated .we couldn ' t verify [Resident 1 ' s] allegation because [Resident 1] had a mental disorder that caused him to hallucinate.
The SSD stated that LN 1 was not suspended during the investigation.
A document review of Resident 1 ' s GRIEVANCE RESOLUTION FORM dated 5/29/24 at 2:03 P.M. indicated .Resident expressed concerns regarding one of the male nurses.
Resident stated that particular male nurse was not gentle enough when providing care .
A record review of Resident 1 ' s Social Services progress notes on 5/29/24 at 14:03 (2:03 PM) indicated .he would feel safer if anothernurse [sic] were assigned to him .
There was no documentation that indicated Resident 1 ' s abuse allegation was reported to the SA, protective adult services or law enforcement.
On 7/16/24 at 10:30 A.M.
The administrator (ADM) referred to Resident 1 ' s complaint print dated 7/16/24 at 10:22 A.M., per Portal Cortex (facility messaging system used as a communication tool for resident and facility) that indicated . I was bruised by a regular nurse by the name of [staff ' s name]. He grabbed me by the back of the neck and tried to throw me to the bed .
555804
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555804 B.
Wing 07/24/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Victoria Post Acute Care 654 S.
Anza El Cajon, CA 92020
Investigation . 3. A licensed nurse will immediately examine the resident upon receiving reports of alleged physical or sexual abuse. G.
Protection . 3. If an allegation of abuse, neglect, misappropriation of resident property, or exploitation involves an employee, the facility will: immediately remove the employee from the care of any resident.
Suspend the employee during the pendency of the investigation.
555804
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555804 B.
Wing 07/24/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Victoria Post Acute Care 654 S.
Anza El Cajon, CA 92020