Coronado Healthcare Center

Based on a review of the clinical record, staff interviews, and a review of policies and procedures, the facility failed to ensure that the physician’s orders were implemented per professional standards for one resident (Resident #56). The universe was 180.Â

Based on staff interviews, observations, and review of facility policies and procedures ,the facility failed to ensure food was stored within appropriate guidelines. The facility census was 191 and the survey sample size was thirty-five.Â

Based on a review of the clinical record, staff interviews, and a review of policies and procedures, the facility failed to update and revise care plans for two residents (Residents #21 and #56). The universe was 180.Â

Based on review of clinical records, observation of current practice, and staff interviews, the facility failed to ensure that the advance directive was correctly documented for one resident (#128).Â

Based on review of clinical records, observation of current practice, and staff interviews, the facility failed to ensure that the advance directive was correctly documented for one resident (#128). The deficient practice could result in inaccurate care being provided to the resident.

Based on a review of the clinical record, staff interviews, and a review of policies and procedures, the facility failed to update and revise care plans for two residents (Residents #21 and #56). The deficient practice can result in inaccurate monitoring of a resident’s medical conditions and care, which are necessary to achieve the resident’s health and well-being goals. The universe was 180.Â

Based on observations, facility documentation, staff and resident interviews, and the facility policy and procedures, the facility failed to provide an ongoing program of activities designed to meet the interest and the physical, mental, and psychological well-being of one resident (Resident #15). The sample was three residents and the universe is 191 residents. The deficient practice could result in a decline in physical, mental, and social skills.Â

Based on a review of the clinical record, staff interviews, and a review of policies and procedures, the facility failed to ensure that the physician’s orders were implemented per professional standards for one resident (Resident #56). The deficient practice can result in inaccurate monitoring of a resident’s medical conditions and care, which are necessary to achieve the resident’s health and well-being goals. The universe was 180.Â

Based on staff interviews, observations, and review of facility policies and procedures ,the facility failed to ensure food was stored within appropriate guidelines. The deficient practice could increase the risk for foodborne illness. The facility census was 191 and the survey sample size was thirty-five.

Based on observations, facility documentation, staff and resident interviews, and the facility policy and procedures, the facility failed to provide an ongoing program of activities designed to meet the interest and the physical, mental, and psychological well-being of one resident (Resident #15). The sample was three residents and the universe is 191 residents.Â

Based on a record review and interviews, the facility failed to provide all required fire drills per NFPA 101. Failing to conduct fire drills in accordance with the life safety code, one per shift per quarter under varied conditions, to familiarize staff with conditions under an actual fire, can result in harm to all residents and/or staff during an actual fire or emergency situation.

Based on observation, the facility failed to maintain several doors in the building. Failing to maintain doors in the facility could allow heat and/or smoke to transfer, which will cause harm to the patients and/or staff in the affected areas.Â