Fresno Postacute Care
FRESNO POSTACUTE CARE in FRESNO, CA — inspection on August 16, 2024.
Found 21 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
During a review of Resident 24's admission Record, dated 8/16/24, the admission Record indicated, Resident 24 was re-admitted to the facility on [DATE] with diagnoses which included diabetes (high blood sugar in the blood) and hemiplegia (complete paralysis) and hemiparesis (partial weakness).
During a review of Resident 24's MDS assessment dated [DATE], indicated Resident 24's BIMS assessment score was 13 out of 15 indicating Resident 24 had no cognitive deficit.
During an interview on 8/15/24 at 9: 37 a.m. with LVN 3, LVN 3 stated it was important to provide privacy to residents when administering medications. LVN 3 stated, .
Residents should always be given privacy when taking their medications .
- During a concurrent observation and interview on 8/14/24 at 4:05 p.m. in Station 2 hallway, LVN 1
prepared Resident 40's medications. LVN 1 administered Resident 40's medication in Resident 40's room but did not provide privacy by closing the privacy curtain or the door.
LVN 1 stated she did not closed the privacy curtain between bed A and bed B. LVN 1 stated she did not closed the door to the hallway and exposed Resident 40 for other residents, staff and visitors walking by. LVN 1 stated she administered medication to Resident 40 without privacy.
During a review of Resident 40's admission Record, dated 8/16/24, the admission Record indicated, Resident 40 was re-admitted to the facility on [DATE] with diagnoses which included heart failure, hyperlipidemia (high cholesterol) and hearing loss.
During a review of Resident 40's MDS assessment dated [DATE], indicated Resident 40's BIMS assessment score was 13 out of 15 indicating Resident 40 had no cognitive deficit.
During an interview on 8/16/24 at 2:13 p.m. with the Director of Nursing (DON), the DON stated her expectations from licensed nurses during medication administration was to give respect and privacy to residents by closing the privacy curtain and offer to take residents in their room to administer medications.
The DON stated there were other residents, staff and visitors walking by in the hallway and could see residents taking their medications.
The DON stated, .
Residents have rights and one of them was to ensure privacy was provided at all times .
During a review of facility's policy and procedure (P&P) titled, Resident Rights, dated 1/18, the P&P indicated, .be treated with respect, kindness, and dignity . be supported by the facility in exercising his or her rights .
During a review of facility's P&P titled, Specific procedures for all medications, undated, the P&P indicated, . To administer medications in a safe and effective manner .
Provide privacy for residents if appropriate .
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of Resident 65's AR, dated 8/16/24, the AR indicated, Resident 65 was admitted to the facility on [DATE] with diagnoses which included contracture and muscle wasting and atrophy (decreased in size or wasting away of a body part).
During an interview on 8/14/24 at 8:45 a.m. with Rehabilitative Nursing Assistant (RNA) and CNA 2, they both stated the urinary catheter bag should have been covered with privacy bag but it was not.
RNA and CNA 2 stated it was a dignity issue, other residents and visitors walking by could see the urinary catheter bag.
During an interview on 8/14/24 at 8:50 a.m. with Registered Nurse (RN) 2, she stated she did not noticed the urinary catheter bag was not covered with a privacy bag. RN 2 stated urinary catheter bag should be covered with privacy bag at all times because it was a dignity issue. RN 2 stated, . We do not want other residents and visitors walking by to see what was draining out of resident . RN 2 stated residents needs their privacy respected.
During an interview on 8/16/24 at 9:25 a.m. with the Infection Preventionist (IP), the IP stated, .
Urinary catheter bags should be covered at all times with privacy bag because it was a dignity issue .
The IP stated nursing staff should have been checking residents with foley catheter to ensure urinary catheter bags was covered with privacy bag.
The IP stated it was also her responsibility to ensure all foley catheter bags are covered with privacy bag.
During an interview on 8/16/24 at 2:15 p.m. with the DON, the DON stated her expectation was for all urinary catheter bags to be fully covered with privacy bag whether resident were lying in bed or up in their wheelchair. DON stated it was a dignity issue and visitors and other resident could see the exposed bag while walking by.
During a review of facility document titled, Inservice Lesson Plan (ILP) undated, the ILP indicated, .
All the catheter bags should be covered with the blue privacy bags all the time, inform charge nurse immediately .` During a review of the facility's policy and procedure (P&P) titled, Resident Rights, dated 1/18, the P&P indicated, .Federal and state laws guarantee certain basic rights to all residents of the facility.
These rights include . a. a dignified existence; b. be treated with respect, kindness, and dignity . privacy and confidentiality .
During a review of the facility's P&P titled, Quality of Life - Dignity, dated 1/18, the P&P indicated , .
Staff shall promote dignity and assist residents as needed by: a.
Helping the rsident to keep urinary catheter bags covered .
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
dated 10/23, indicated, .
Tobacco use includes tobacco used in any form . If the resident states he or
period, review the medical record and interview staff for any indication of tobacco use by the resident
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During an interview on 8/16/24 at 10:40 a.m. with the director of nursing (DON) the DON stated
stated Resident 66 should have had a care plan developed for her preferences so all staff members could have been made aware of her preference and what interventions to take.
During a review of the facility's Licensed Vocational Nurse (LVN) job description, dated 10/19/15, the job description indicated, The LVN contributes to nursing assessment and care planning .
Responsibilities/Accountabilities . care planning: 2.1 contributes to establishing individualized patient goals; 2.2 Assists in developing interventions to achieve goals; 2.3.
Implements the plan of care .
During a review of the facility's Registered Nurse job description, dated 10/23/15, the job description indicated, .
Responsibilities/Accountabilities . 2) Writing and initiating plan of care . 3) Reguarly re-evaluating patient . needs .4) Participating in revising the plan of care as necessary .2.
Develops a care plan that establishes goals, based on nursing diagnosis .
During a review of the facility's policy and procedure (P&P) titled, Care Plans, Comprehensive Person-Centered, dated 1/18, indicated . A comprehensive, person -centered care plan that includes measurable objectives . is developed and implemented for each resident. 7.
The care planning process will: . c. incorporate the resident's personal and cultural preferences in developing the goals of care.
- The comprehensive, person-centered care plan will: . f. include the resident's stated preference J.
reflect the resident's expressed wishes regarding care and treatment goals .
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During a concurrent interview and record review on 8/16/24 at 2:30p.m. with DON, the DON stated
social, and spiritual support for people nearing the end of life). DON stated hospice company provided Resident 65 her bed including the bedrails. DON reviewed Resident 65's bed rails order and stated the physician order for bed rails was not followed.
During a review of facility's policy and procedure (P&P) titled, Proper use of Side Rails, dated 1/18, the &P indicated, .
The purpose of these guidelines are to ensure the safe use of side rails as restraints unless necessary to treat a resident's medical condition .
Review of professional reference https://www.fda.gov/medical-devices/hospital-beds/guide-bed-safety-bed-rails-hospitals-nursing-homes-and-home-health-care-facts .
Patients who have problems with memory, sleeping, incontinence, pain, uncontrolled body movement, or who get out of bed and walk unsafely without assistance, must be carefully assessed for the best ways to keep them from harm, such as falling.
Assessment by the patient ' s health care team will help to determine how best to keep the patient safe .
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
.
Providing routine and timely pharmacy service seven days per week and emergency pharmacy
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During a concurrent observation and interview on 8/15/24 at 8:42 a.m. in Station 1, RN 2 prepared Resident 65's medications and administered four of five medications scheduled for Resident 65. RN 2 stated she did not administer ergocalciferol (brand name-medication supplement) because she was not sure the medication bubble pack was the same as the order in eMAR (Electronic Medicine Administration Record) dated 8/1/24-8/31/24.
During an interview on 8/15/24 at 2:20 p.m. with RN 2, she stated she did not administer Resident 65's ergocalciferol because the medication name was different in the bubble pack and the order. RN 2 stated she called the physician but did not call pharmacy to verify medication.
RN 2 stated she did not administer the routine medication to Resident 65.
During an interview on 8/16/24 at 1:55 p.m. with the DON, the DON stated her expectation was for routine medications to be available to administer to residents.
The DON stated not administering routine medication was not acceptable because Resident 65 missed the dose.
DON stated licensed nurses are responsible in ordering medications and making sure routine medications are available for administration.
During an interview on 8/16/24 at 3:25 p.m. with the Administrator (ADM), the ADM stated, . make no mistakes but in reality it is not possible .
According to Lexicomp, a nationally rcognized drug reference, .
Vitamin D supplementation has been shown to increase muscle function and strength, as well as improve balance.
Patients at risk for falls should have vitamin D serum concentrations measured and be evaluated for supplementation .
During a review of facility's policy and procedure (P&P) titled, Adverse consequences and Medication Errors. dated 1/18, the P&P indicated, .
The staff and practitioner shall strive to minimize adverse consequences by: a. following relevant clinical guidelines and manufacturer's specification for use, dose, administration, duration . A medication error is defined as the preparation or administration of drugs or biologicals which is not in accordance with physician's orders, manufacturer specifications, or accepted professional standards and principles of the professional (s) providing services .
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of the facility's P&P titled, Medication Storage in the Facility dated 1/2022, the P&P indicated, .
All expired medications will be removed from the active supply and destroyed in the facility . \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ &nbs[TRUNCATED]
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of the facility's policy and procedure (P&P) titled, Demonstrating Food Safety and Job Competency for Food and Nutrition Services Employees, dated 2023, the P&P indicated, Food and Nutrition Services employees will be tested on the competency of their skill to meet the needs of the facility.
Each employee must successfully complete the following within each year (12 months) for the job they were hired to perform: Verification of Demonstrated Job Competencies (Cooks or Diet Aids) - Attachment A and B, Equipment Competency for the appropriate equipment used in the job - Attachment C, 2 written tests.
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During an interview on 8/13/24 at 10:03 a.m. with DA 2, DA 2 stated, I don't think we had the ingredients for that [cappuccino mousse].
During an interview on 8/14/24 at 2:43 p.m. with RD, RD stated she expects the kitchen staff to follow the portion sizes on the menu spreadsheet and to fill up the scoops when portioning food items.
- During an observation on 8/12/24 at 10:33 a.m. in the kitchen, [NAME] 1 was preparing coleslaw
for the residents' side for lunch.
The coleslaw did not have corn.
During a review of the facility's SM, dated 8/12/24, the SM indicated, French Dip-Roast Beef on a Soft Sandwich Roll, Au Jus, Sweet Potato Fries, Ketchup, Corn Coleslaw, Cappuccino Mousse, Milk for lunch.
During an interview on 8/13/24 at 10:01 a.m. with [NAME] 1, [NAME] 1 stated she did not put corn in the corn coleslaw. [NAME] 1 stated some ingredients were not in house for the recipes.
During a review of the facility's Resident Council Minutes (RCM), RCM, dated 5/29/24, the RCM indicated, Old business: Portion size, food preference.
During a review of the facility's RCM, dated 6/24/24, the RCM indicated, Old business: Portion size, food preferences.
Dietary: Food continuously coming out late.
During a review of the facility's P&P titled, Menu Planning dated 2023, showed menus are planned to meet nutritional needs of residents in accordance with established national guidelines, physician's orders, and to the extent medically possible, in accordance with the most recent recommended dietary allowances of the Food and Nutrition Board of the National Research Council National Academy of Sciences.
Menus provide a variety of foods in adequate amounts each meal.
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food and tray cards for proper preferences and diets . educated staff, not reading cards [meal
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a concurrent observation and interview on 8/13/24 at 12:15 p.m. with the Certified Dietary Manager (CDM) in Station 2 hallway, the pureed diet test tray was sampled.
The pureed curry chicken was spread all over the plate and did not hold its shape or form.
The CDM acknowledged that the pureed chicken did not hold its shape or form.
During a review of the facility's Diet Type Report (DTR), dated 8/12/24, the DTR indicated the following residents are on pureed diet: a. Resident 27 is on CCHO, puree, nectar thick liquids diet. b. Resident 1 is on regular puree, honey thick liquids diet. c. Resident 69 is on fortified puree diet. d. Resident 2 is on regular puree, honey thick liquids diet. e. Resident 15 is on no added salt, puree, honey thick liquids diet. f. Resident 49 is on regular puree, regular liquids diet. g. Resident 44 is on regular puree, regular liquids, large portions diet.
During a review of the facility's diet manual (DM) titled, Regular Pureed diet, dated 2023, the DM indicated, The pureed diet is a regular diet that has been designed for residents who have difficulty chewing and/or swallowing.
The texture of the food should be of a smooth and moist consistency and able to hold its shape.
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of the facility's RCM, dated 6/24/24, the RCM indicated, Old business: Portion size, food preferences.
Dietary: Food continuously coming out late.
During an interview on 8/14/24 at 2:44 p.m. with the Registered Dietitian (RD), the RD stated she expects the kitchen staff to follow the residents' food preferences.
- During a review of the facility's Summer Menus (SM), dated 8/13/24, the SM indicated, Curry
Lemon Chicken, Garlic Rice, Peas w/ [with] Onions, Parsley Garnish, Wheat Roll, Margarine, Ice Cream, Milk for lunch. a.
During an observation on 8/13/24 at 11:38 a.m. in the kitchen, Resident 31's meal tray had rice, chicken, wheat roll, and orange drink.
During a review of Resident 31's MT, MT indicated, Dislikes: Vegetables (PEAS and CORN). b.
During an observation on 8/13/24 at 11:43 a.m. in the kitchen, Resident 51's meal tray had chicken, rice, wheat roll, iced tea, and milk.
During a review of Resident 51's MT, MT indicated, Dislikes: Vegetables (canned spinach, peas). c.
During an observation on 8/13/24 at 11:44 a.m. in the kitchen, Resident 34's meal tray had chicken, rice, wheat roll, milk, and lemonade.
During a review of Resident 34's MT, MT indicated, Dislikes: Vegetables (Peas).
During an interview on 8/13/24 at 12:26 p.m. with the CDM, the CDM stated he expects residents who dislike peas would have alternative vegetables.
During an interview on 8/14/24 at 2:44 p.m. with the RD, the RD stated she expects the kitchen staff to provide a different vegetable for those who do not like a vegetable on the menu.
During a review of the facility's policy and procedure (P&P) titled, Food Preferences, dated 2023, the P&P indicated, Resident's food preferences will be adhered to within reason.
Substitutes for all foods disliked will be given from the appropriate food group.
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During an observation on 8/13/24 at 12:04 p.m. in the kitchen, Resident 3's meal tray has two regular cups with no handle.
During a review of Resident 3's meal ticket (MT), MT indicated, Adaptive Equip [equipment]: Sippy Cup.
During an interview on 8/14/24 at 10:05 a.m. with Dietary Aide (DA) 2, DA 2 stated the kitchen does not have enough sippy cups to go on residents' meal trays.
During an interview on 8/14/24 at 10:06 a.m. with DA 1, DA 1 stated the kitchen does not have enough sippy cups and regular cups so he would also use disposable cups.
During a review of Resident 3's Order Summary Report (OSR), dated 8/14/24, the OSR indicated, Light up utensils and sippy cup to decrease spillage during meals.
During an observation on 8/14/24 at 10:17 a.m. in Resident 3's room, there was a pitcher with straw and a coffee cup on the bedside table.
There was no sippy cup at Resident 3's bedside.
During an interview on 8/14/24 at 10:18 a.m. with Registered Nurse (RN) 1, RN 1 stated Resident 3 uses a sippy cup or a cup with a handle for all his drinks for safety. RN stated, We don't give him that [cups with no handles]. RN stated Resident 3 uses cups with a handle because he is on seizure precautions.
During an interview on 8/14/24 at 11:13 a.m. with the Certified Dietary Manager (CDM), the CDM stated he expects the kitchen to provide sippy cups for adaptive equipment.
During an interview on 8/14/24 at 1:58 p.m. with Certified Nursing Assistant (CNA) 5, CNA 5 stated he is the CNA for Resident 3, and he assisted Resident 3 with his meals. CNA 5 stated he had never seen Resident 3 use a sippy cup before. CNA 5 stated Resident 3 had a disposable cup with no handle on his meal tray. CNA 5 stated he is not aware of Resident 3 having an order for a sippy cup.
During a review of the facility's policy and procedure (P&P) titled, Self-feeding Devices, dated 2023, the P&P indicated, Devices commonly used . such as divider plates and feeding cups, will be kept in stock. A physician's order is recommended.
The Food & Nutrition Services Department will store self-feeding devices.
Residents needing devices will receive them with each meal or snack, on their meal trays.
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During an interview on 8/16/24 at 3:35 p.m. with the Administrator (ADM), the ADM stated POLST
stated, .
Medical Records person should be checking records more closely to ensure accurateness of records before it is put in the system .
During a review of the facility's policy and procedure (P&P) titled Physician Order for Life Sustaining Treatment, dated 3/21 indicated, . A completed, fully executed POLST is a physician order, and is immediately actionable .
The POLST will be reviewed by the facility interdisciplinary team during the quarterly care planning conference . https://www.[NAME]-[NAME].org/programs/support-services/services/healthcare-ethics/polst.html, .The POLST form is completed by a patient ' s physician (or by someone who has undergone special training about POLST and who works with the patient ' s physician) in conjunction with thorough conversation with the patient regarding the patient ' s current and future health conditions and treatment preferences.
Both the physician and patient must sign the POLST. If the patient lacks capacity to make medical decisions, the patient ' s legally recognized decision-maker can participate in both completing and signing the POLST form .
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
indicated, .
All staff members will wash their hands before and after direct resident care and after
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
Facility Administrator
Date
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of Resident 11's admission Record [AR], dated 8/16/24, the AR indicated, Resident
Cancer of the Left Kidney.
During a review of Residents 11's Minimum Data Set (MDS- a resident assessment tool used to identify resident cognitive and physical function) Section C assessment dated [DATE], indicated Resident 8's Brief Interview of Mental status assessment (BIMS - assessment of cognitive status for memory and judgement) scored 15 (a score of 13-15 indicates cognitively intact, 08-12 indicates moderately impaired, 00-07 indicates severe impairment and 99 indicates they are unable to complete the interview).
The BIMS assessment indicated Resident 15 had no cognitive impairment.
During a review of Resident 22's AR dated 8/15/24, the AR indicated Resident 22 admitted on [DATE] with diagnosis of Heart Failure, Dysphagia (difficulty swallowing, Chronic Pain, Anxiety (feeling of fear, dread, uneasiness as a result to stress), and Depression (a persistent feeling of sadness, loss of interest in activities).
During a review of Resident 22's MDS Section C indicated, Resident 22 had a BIMS score of 14, no cognitive impairment.
During a review of Resident 47's AR dated 8/15/24, the AR indicated Resident 47 admitted on [DATE] with diagnosis of Muscle Weakness, Difficulty Walking, Alcohol Abuse and Anxiety.
During a review of Resident 47's MDS Section C indicated, Resident 47 had a BIMS score of 7, moderate cognitive impairment.
During a review of Resident 60's AR dated 8/15/24, the AR indicated Resident 60 admitted on 1 with diagnosis of Cognitive Communication Deficit, History of Falling, and Muscle Weakness. m During a review of Resident 60's MDS Section C indicated, Resident 60 had a BIMS score of 11, moderate cognitive impairment.
During a review of the facility's policy and procedure (P&P) titled, Quality of Life - Homelike Environment dated 1/2018, the P&P indicated, .a. clean, sanitary, and orderly environment . f. pleasant neutral scents .
During a concurrent observation and interview on 8/12/24 at 10:31 a.m. with Dietary Aide (DA) 2 in the kitchen, there was a cockroach crawling on the wall at the dish machine area. DA 2 confirmed she saw the cockroach. DA 2 stated the kitchen had issues with cockroaches in the past.
During an observation on 8/12/24 at 10:32 a.m. in the kitchen, there was a cockroach crawling on the floor by the handwashing station.
During an observation on 8/12/24 at 10:34 a.m. in the kitchen, there was a cockroach crawling on the floor under the food preparation table, near the three-compartment sink.
During an interview on 8/12/24 at 10:40 a.m. with the Certified Dietary Manager (CDM), the CDM stated the kitchen staff told him there has been issues with cockroaches in the kitchen.
During a concurrent observation and interview on 8/13/24 at 10:24 a.m. with Resident 30 in Station 2 hallway by the shower room, there was a cockroach crawling on the floor. Resident 30 stated he saw the cockroach and he has been seeing cockroaches often in the facility.
During a concurrent observation and interview on 8/13/24 at 10:25 a.m. with the Maintenance Supervisor (MS) in Station 2 hallway, the cockroach crawled into a crack on the shower room floor.
The MS stated he saw where the cockroach went on the shower room floor and stated he would need to seal that up.
During an observation on 8/13/24 at 12:13 p.m. in Station 2 shower room, there was a cockroach crawling on the floor.
During an interview on 8/13/24 at 12:37 p.m. with the Pest Control Technician (PCT), the PCT stated he is the pest control technician that services the facility.
The PCT stated he had been to the facility twice in July and June. PCT stated he had made recommendations to seal cracks in the corners of the kitchen at the dish machine area, but he is not sure if it had been done.
During a review of the facility's policy and procedure (P&P) titled, Pest Control, dated January 2018, the P&P indicated, This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents.
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Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of the facility's Summer Menus (SM), dated 8/12/24, the SM indicated residents on regular texture, CCHO, regular portions diet, to receive 1/4 cup of sweet potato fries.
The SM indicated 1/2 cup of sweet potato fries is large portions for residents on regular texture, CCHO diet.
During an observation on 8/12/24 at 12:32 p.m. in the kitchen, Dietary Aide (DA) 1 was not calling out CCHO from the meal tickets when telling the cook what to put on the plate.
During an observation of the lunch meal service on 8/12/24, starting at 12:32 p.m. in the kitchen, [NAME] 1 used a four oz. scoop to serve regular texture sweet potato fries to 20 residents (Resident 42, 5, 16, 6, 26, 9, 23, 60, 12, 74, 34, 4, 37, 24, 77, 25, 22, 29, 78, 13) on regular texture, CCHO, regular portions diet.
During a review of the facility's Diet Type Report (DTR), dated 8/12/24, the DTR indicated the following residents are on regular texture, CCHO, regular portions diet: Resident 42, 5, 16, 6, 26, 9, 23, 60, 12, 74, 34, 4, 37, 24, 77, 25, 22, 29, 78, 13).
b.
During a review of the facility's SM, dated 8/12/24, the SM indicated residents on mechanical soft regular portions diet get #10 scoop (3.2 ounces) of ground roast beef.
The SM indicated #16 scoop (2 ounces) of ground roast beef is small portions for residents on mechanical soft diet.
During an observation of the lunch meal service on 8/12/24 starting at 12:31 p.m. in the kitchen, [NAME] 1 used #16 scoop (small portions) to serve ground roast beef to eight residents (Resident 21, 57, 61, 54, 3, 55, 66, 28) on mechanical soft regular portions diet.
During a review of the facility's DTR, dated 8/12/24, the DTR indicated the following residents are on mechanical soft regular portions diet: Resident 21, 57, 61, 54, 3, 55, 66, 28).
c.
During a review of the facility's SM, dated 8/12/24, the SM indicated residents on pureed regular portions diet get #8 scoop (4 ounces) of pureed roast beef.
The SM indicated #12 scoop of pureed roast beef is small portions for residents on pureed diet.
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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 555426 B.
Wing 08/16/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Fresno Postacute Care 1233 A Street Fresno, CA 93706
During a review of the facility's Summer Menus for the lunch meal for August 12, 2024, showed the regular diet with regular portions to receive: 3 ounces french dip - roast beef, 1 soft sandwich roll, 2 ounces Au Jus juice/sauce, 1/2 cup sweet potato fries, #8 scoop (1/2 cup) corn coleslaw; #12 cappuccino mousse (cap mousse).
The large portion showed: 3 ounces roast beef, 1 soft sandwich roll, 3/4 cup sweet potato fries, #8 scoop corn coleslaw, #12 scoop cap mousse.
Mechanical Soft diet showed: Ground roast beef #10 scoop, 1/2 cup sweet potato fries, #8 scoop corn coleslaw, #12 scoop cap mousse.
Puree diet showed: #8 scoop roast beef moisten with broth, #12 scoop puree roll, #8 scoop puree sweet potato fries, #12 scoop corn coleslaw, #12 scoop cap mousse. CCHO, regular texture diet showed: 3 ounces roast beef with 1 roll, 1/4 cup sweet potato fries, #8 scoop corn coleslaw, #12 scoop cap mousse.
Renal diet showed: 3 ounces roast beef, 1 roll, 2 ounces Au Jus, pineapple ring (no fries), #8 scoop corn coleslaw, Sugar cookies - 2 small.
555426
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 555426 B.
Wing 08/16/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Fresno Postacute Care 1233 A Street Fresno, CA 93706
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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.