Eureka Rehabilitation & Wellness Center, Lp
EUREKA REHABILITATION & WELLNESS CENTER, LP in EUREKA, CA — inspection on January 29, 2026.
Found 9 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
expected nursing staff to follow the timing flow chart on the neurological flow sheet.
The DON stated
check lists and confirmed the assessments were not completed to her expectation.
The DON further
returned from the hospital for 72-hours.
A review of the facility's document titled, Neurological Flow Sheet, revised 7/2016, indicated, Vital Signs and Neuro Checks.every (q) 15 min (minutes) x (for) one hour.q 30 min x one hour.q one hour x four hours.q four hours x 24 hour/total (72) hours.
A review of the facility's P&P titled, Fall Management Program, dated 2022, indicated, Neurological Assessment.For an unwitnessed fall.the licensed nurse will complete 72 hours following the fall incident.Perform neurological checks at the ordered frequency or as listed below equaling 72 hours.every 15 minutes x 1 hour, then every 30 minutes x two hours, then every one hour x four hours, then every four hours x 65 hours OR until the physician states it is no longer necessary OR after 72 hours if the resident's condition is stable.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
During a concurrent interview and record review on 1/28/26 at 2:02 p.m. with the Director of Staff Development (DSD), CNA 4's employee training file was reviewed.
The DSD acknowledged CNA 4's last annual skill/competency assessment was completed on 9/16/24, which was four months overdue for a required annual skill/competency assessment.During a concurrent interview and record review on 1/28/26 at 2 p.m. with the DSD, CNA 6's employee training file was reviewed.
There was a skills/competency checklist that had no employee signatures or dates on it.
The DSD could not confirm that CNA 6 completed this or any other annual skills/competency assessment.During a concurrent interview and record review on 1/28/26 at 2:06 p.m. with the DSD, CNA 3's and CNA 7's training files were reviewed.
The DSD acknowledged there was missing evidence of abuse and/or dementia training for each of these CNAs, indicating these employees might not be able to respond properly to abuse situations, or have the knowledge to effectively communicate and care for certain residents in the facility.
The DSD stated it was known that there were training issues that needed to be addressed at the facility, and that this area was being currently addressed by the quality improvement committee.A review of the facility policy and procedure titled, Staff Competency Evaluation, effective 6/04/24, indicated, staff are required to have competency validation based on their job description or assigned duties .re-education will be provided to the employee who is unable to satisfactorily perform the skill, followed by a re-evaluation of the competency.During a review of [Name of facility] Facility Assessment, reviewed on 1/26/26, indicated under training requirements, Staff training/education and competencies - yearly review of select clinical competency and as needed for competency .include dementia management training and abuse prevention training.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
recommendations should be followed because they prevented potential medication errors from
reviewed within two weeks of being submitted, and if not they should be escalated by the DON to be
stated 11/21/25 was the last MRR review which was signed by the physician.
The ADM stated her expectation was that the 12/26/25 CP recommendations should have been followed and implemented in a timely manner.A review of the facility's policy and procedure (P&P) titled, Medication Regimen Review, reviewed in 2024, indicated, All findings and recommendations are reported to the director of nursing and the attending physician, the medical director and the Administrator .Resident-specific irregularities and/or clinically significant risks resulting from or associated with medications are documented in the resident's [active record] and reported to the Director of Nursing, Medical Director and prescriber as appropriate.A review of the facility's P&P titled, Documentation and communication of consultant pharmacist recommendations, reviewed in 2024, indicated, The consultant pharmacist works with the facility to establish a system whereby the consultant pharmacist observations and recommendations regarding residents' medication therapies are communicated to those with authority and/or responsibility to implement the recommendations, and are responded to in an appropriate and timely fashion .Comments and recommendations concerning medication therapy are communicated in a timely fashion.
The timing of these recommendations should enable a response prior to the next medication regimen review .Recommendations are acted upon and documented by the facility staff and/or the prescriber. If the prescriber does not respond to recommendation directed to him/her [within 30 days], the Director of Nursing and/or the consultant pharmacist may contact the Medical Director.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
Based on observation, interview, and record review, the facility failed to ensure medications were
when:Loose pills were found in a medication cart,Medications were found without open dates, and;Used insulin pens were found comingled in the same drawer.These findings had the potential to result in medication errors, decreased medication therapy, and harm to the residents of the facility.
During a concurrent interview and C wing medication cart inspection on 1/28/26 at 1:14 p.m., with the Director of Nursing (DON), the DON confirmed the following: 10 loose pills were found in the medication cart.
The DON stated loose pills could potentially be given mistakenly to residents or be taken by staff.Six medications were found without open dates.
The DON stated open dates were necessary to ensure that medications were not outdated.
The DON further stated that if these medications were administered to residents, they could potentially cause adverse effects or be less therapeutic.Six used insulin pens belonging to different residents were found comingled in the same drawer.
The DON stated the insulin pens should be prevented from touching each other because that could cause cross contamination.During a review of the facility's policy and procedure (P&P) titled, Storage of Medications, reviewed in 2024, the P&P indicated, Medications are stored safely and properly .Medication storage areas are kept clean and free of clutter .When the original seal of a manufacturer's container is initially broken. the nurse shall place a date opened sticker on the medication and enter the date opened.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
menus.Conducts meal rounds and interviews staff and residents to ensure residents are receiving
policies, procedures, standards, and applicable federal, state, and local regulations.Participates in the
Nutrition and Foodservice.A review of the facility's document titled, Regional Dietitian Job Description, revised on 6/14/16, indicated the Regional Dietitian was responsible for the following duties, Visits facilities on a regular basis to ensure systems are in place and to monitor sustainability to ensure appropriate care is provided to all residents.Establish rapport (relationship) with residents.Make rounds and identify Food Safety and Sanitation, Clinical Nutritional practice, Environmental and regulatory violations.Provide education.Assure that the dietary department functions as a member of the health care team.Assure that residents with nutritional problems are identified and monitored by the facility Registered Dietitian.Assure that food served is safe, nutritious, and palatable.Assist the dietary department in oversight of the sanitation reviews and dining programs.Assure continuing quality in food and nutrition services.Ensure the dietary department continues to function within departmental and facility policies and complies with State and Federal regulations.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
(ounce- a unit of weight).Margarine 1 1/ˆ cups.Garlic powder 1 1/2 to 3 tbsp.Salt 2 1/4 tsp (teaspoon-
LEVEL #4) BREADS, CAKES, COOKIES, PANCAKES, FRENCH TOAST, SWEET ROLLS, WAFFLES,
[residents].Warm milk or cold milk if product is to be served cold.1 1/2 to 3 cups.Puree on low speed adding milk gradually.A review of the facility's policy and procedure titled, Standardized Recipes, revised on 7/01/14, indicated, Food products prepared and served by the dietary department will utilize standardized recipes.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
During a concurrent observation and interview in the kitchen on 1/26/26 at 8:15 a.m., with the DS present, approximately four scoops used for food preparation and tray line were observed stored wet in the three-drawer storage bin.
The DS confirmed the scoops were stored wet.
The DS stated the scoops should not have been stored wet because it [a wet environment] could increase the growth of bacteria.A review of Food and Drug Administration's 2022 Food Code, section 4-901.11, titled Equipment and Utensils, Air-Drying Required, indicated, Items must be allowed to drain and to air-dry before being stacked or stored.
Stacking wet items.prevents them from drying and may allow an environment where microorganisms (living organisms such as bacteria, fungi, and viruses) can begin to grow.5.
During the initial kitchen observation on 1/26/26 at 8:15 a.m., a can opener stationed on a food preparation table was observed with white label remnants on the pointed blade tip.
The pointed blade had visible signs of metal peeling and was worn.
During an interview on 1/26/26 at 10:45 a.m., the DS stated the can opener should be cleaned daily.
The DS stated, Yea, it's dirty and needs to be cleaned.
The DS further stated the can opener blade needed to be changed because metal could come off and go into the food.During a concurrent observation and interview in the kitchen, on 1/26/26 at 10:50 a.m., with the DS present, a light brown, green, light blue, and red cutting boards were observed with black discolored surfaces and stored in the cutting board rack.
Deep blade markings could be felt digitally on all four boards.
The DS confirmed these observations, and stated, Cutting boards with deep groves are hard to clean and can harbor bacteria.
The DS confirmed all four cutting boards should not be used.A review of Food and Drug Administration's 2022 Food Code, section 4-202.15, titled, Can Openers, indicated that Once can openers become pitted or the surface in any way becomes uncleanable, they must be replaced because they can no longer be adequately cleaned and sanitized.A review of Food and Drug Administration's 2022 Food Code, section 4-501.11, titled, Good Repair and Proper Adjustment, indicated, The cutting or piercing parts of can openers may accumulate metal fragments that could lead to food containing foreign objects and, possibly, result in consumer injury.A review of Food and Drug Administration's 2022 Food Code, section 4-501.12, titled, Cutting Surfaces, indicated, Cutting surfaces such as cutting boards and blocks that become scratched and scored may be difficult to clean and sanitize. As a result, pathogenic microorganisms transmissible through food may build up or accumulate.
These microorganisms may be transferred to foods that are prepared on such surfaces.6.
During a concurrent observation and interview on 1/28/26 at 1:08 p.m. with the Maintenance Director (MAIN D), and the DS, the facility's emergency water was stored with an expiration date of 12/15/25.
The DS and MAIN D confirmed the emergency water was expired and needed to be replaced.A review of the facility's P&P titled, Disaster Planning Operational Manual-Dietary Services, revised 11/1/14, indicted, The disaster food supply shall be.Rotated a minimum of every six months to assure continued quality food items.A review of the facility's P&P titled, Food Storage and Handling, revised on 2/29/24, indicated, Dry storage area.rotate stock.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
During a concurrent observation and interview on 1/26/26 at 10:40 a.m. with the Dietary Supervisor (DS), one of the two facility dumpsters was left open with plastic bags filled with garbage piled above the top of the dumpster.
The dumpster was observed without the lids on to provide closure to the dumpster.
One bag of garbage and a box was on the ground next to the dumpster.
The DS confirmed the dumpster was overflowing and was too full to close the lids.
The DS confirmed there was garbage in the surrounding area outside of the dumpster.
The DS further stated, The lids are supposed to be closed to keep the pests and critters out.
During an interview on 1/29/26 at 9:58 a.m. with the Maintenance Director (MAIN D), he stated, They are supposed to be able to close the lids- birds can get into it [the dumpster], and because of infection control reasons.
The MAIN D further stated, The lids are to remain closed the whole time.A review of the facility's policy and procedure titled, Medical Waste-Containers & Storage- Infection Control Manual, revised on 1/1/12, indicated, Medical waste containers are located throughout the facility and are kept covered at all times.Medical waste containers used by the facility are.closable.Medical waste is stored so that it is protected from animals and does not provide a breeding place or a food source for insects and rodents.
055003 01/29/2026
Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St Eureka, CA 95501
requirements.Orders and maintains supplies and equipment necessary to meet center needs.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.