Skip to main content
Health Inspection

San Luis Care Center

August 8, 2024 · Newman, CA · 709 N Street
Citations 1
CMS Rating 2/5
Beds 71
Provider ID 055839
Healthcare Facility
San Luis Care Center
Newman, CA  ·  View full profile →
Inspection Summary

SAN LUIS CARE CENTER in NEWMAN, CA — inspection on August 8, 2024.

Found 1 citation. 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.

Advertisement

Inspection Findings

FF692
Minimal harm or Few Based on interviews, observations, and a review of the facility policies, the facility failed to ensure one affected

Review of R41's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/18/24, located in the resident's EMR under the MDS tab indicated the facility assessed R41 to have a Brief Interview for Mental Status (BIMS) score was 12 out of 15, indicating R41 was cognitively alert.

Review of R41's Care Plan, located in the resident's EMR section titled Care Plans, revealed the resident had a care plan with revision date of 08/01/24.

The care plan identified the resident had focus for R41 was at risk for altered nutrition/hydration status and/or weight fluctuations.

Supplements: health shakes three times a day and multivitamins with minerals.

Review of care plan did not have any indication of R41 refusing weekly weights.

Interview on 08/08/24 at 11:40 AM with Licensed Vocational Nurse (LVN) 2 revealed they have weekly meetings with the Registered Dietician to discuss any nutrition concerns. LVN2 stated R41's last nutrition review was 05/31/24 and RD recommended multi vitamins, health shake and continue weekly weights. LVN2 stated they are responsible for ensuring R41's care plan was updated with all dietician recommendations. LVN2 stated R41 sometimes refuses weights but confirmed there was only one note from May 2024 through July 2024 indicating R41 refused to be weighed. LVN2 stated they were responsible for ensuring R41's care plan was updated with interventions for refusing weekly weights.

Interview on 08/08/24 at 12:04 PM with Director of Nursing (DON), revealed LVN2 was responsible for initiating R41's weekly weights and other nutrition interventions are implemented and entered on their comprehensive care plan. DON stated if a resident is refusing interventions and still triggering for weight loss then staff are to let the RD and Physician know so they can attempt to go over the risk verse benefits with resident.

055839

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 055839 B.

Wing 08/08/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

San Luis Care Center 709 N Street Newman, CA 95360

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NEWMAN, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SAN LUIS CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement