Driftwood Healthcare Center
DRIFTWOOD HEALTHCARE CENTER in TORRANCE, CA — inspection on August 19, 2024.
Found 3 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
The facility failed to:
1.
Ensure the Dietary Supervisor (DS), who was overseeing meal preparation, [NAME] (CK 1) who was preparing the residents' meals, and Licensed Vocational Nurse (LVN 4), who was validating the meal on residents' trays for diet appropriateness and food texture before meal was served to the residents, ensured Resident 10, 11, 50, 53, 62, 81, and 83 received correct food consistency per their prescribed diet.
2.
Ensure Resident 10, 11, 50, 53, 62, 81, and 83 did not receive a ground pimento cheese salad sandwich (sandwich included two slices of regular [not minced] white bread, including the crust, with a scoop of ground pimento cheese in between slices of bread, and sliced in half) on their lunch trays 8/14/2024, which was not in accordance with the residents' physician order.
3.
Ensure the dietary department followed the facility's policy and procedure (P&P) titled, Dietary Department- General, which indicated the dietary department was to prepare and provide nutritionally adequate, well-balanced meals that were consistent with physician's diet order.
These deficient practices resulted in Resident 10, 11, 50, 53, 62, 81, and 83 receiving a lunch tray on 8/14/2024 that contained a ground pimento cheese salad sandwich on a regular soft white bread which placed Resident 10, 11, 50, 53, 62, 81, and 83 at high risk for aspiration (condition when food, liquid, or other material enters a person's airway [passageway for air] and eventually the lungs), choking (life threatening condition where an object such as food lodges in the throat blocking the flow of air), and possible death.
On 8/15/2024 at 4:56 p.m., an Immediate Jeopardy ([IJ] a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident) was called in the presence of the facility's Director of Nursing (DON) and the Administrator (ADM) due to the facility's failure to ensure Residents 10, 11, 50, 53, 62, 81, and 83 received food consistent with their therapeutic diet ( diet that controls the intake of a certain foods) texture of dysphagia minced and moist diet.
On 8/16/2024 at 4:20 p.m., the facility submitted an acceptable IJ Removal Plan ([IJRP] interventions to immediately correct the deficient practices).
After onsite verification of the facility's IJRP's implementation through observation, interview, and record review, the IJ was removed on 8/16/2024 at 4:32 p.m., in the presence of the DON and ADM.
The IJPR included the following immediate actions:
555114
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 555114 B.
Wing 08/19/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Driftwood Healthcare Center 4109 Emerald St Torrance, CA 90503
During a review of Resident 51 History and Physical (H&P), dated 6/26/2024, the H & P indicated Residents 51 had the capacity to understand and make decisions.
During a review of Residents 51 Minimum Data Set ([MDS] a standardized assessment and care screening tool), dated 7/1/2024, the MDS indicated, Resident 51 cognition (thinking) was intact.
Residents 51 had the ability to understand and to be understood by others.
During a review of Resident 51's care plans dated 7/3/2024, there was not a care plan developed for Resident 51's pain for his back teeth.
During a review of Resident 51's Order Summary Report (physician orders), dated 1/20/2024, the physician orders indicated, Resident 51 had a physician order for dental consultation as needed for treatment as indicated.
During a review of Resident 51's dental notes, dated 7/9/2024, indicated Resident 51 was seen by the dentist and had pain on teeth numbers 14, 16, and 18 and had been waiting for the endo and oral surgery (OS) for a while.
The dental notes also indicated a follow up appointment as soon as possible (ASAP) for endo referral for teeth numbers 14 and 18 and an OS referral for tooth number 16.
555114
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 555114 B.
Wing 08/19/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Driftwood Healthcare Center 4109 Emerald St Torrance, CA 90503
During an interview on 8/19/2024 at 9:27 a.m., the Environmental Services Supervisor (ESS) stated it was important to ensure the ice machine was clean, to prevent germs (a microorganism, especially one which causes disease) did not reach the residents, causing illness and to prevent foreign substances from getting on the ice.
During an interview on 8/19/2024 at 11:43 a.m., the Infection Preventionist nurse (IP) stated it was important to keep the ice machine clean and sanitary for resident safety, to prevent contamination of the ice and to prevent residents from getting sick.
During a review of the facility's policy and procedure (P&P) titled Housekeeping-Ice Machines dated 1/12/2012, the P&P indicated Housekeeping was to clean the ice machine in accordance with t he manufacturer's guidelines and the ice bin was to be cleaned by housekeeping staff on a regular schedule.
During a review of the owner's manual for the .Ice Machines: Installation, Operation and Maintenance Manual, the manual indicated Exterior cleaning was to be done as often as necessary to maintain cleanliness and efficient operation.
555114
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 555114 B.
Wing 08/19/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Driftwood Healthcare Center 4109 Emerald St Torrance, CA 90503