ST JOHN KRONSTADT CONVALESCENT CENTER
4432 James Ave Castro Valley, CA 94546
Citation Number: 020009728
Citation Date: 02/04/2013
Violation Date: 7/18/12
On 7/18/12, three residents were taken to a baseball game by two staff members as part of a facility outing. The residents were given hot dogs. One resident choked and died. The resident had known dysphagia (difficulty swallowing) and had had a previous choking incident and was on a special diet to prevent choking. Nonetheless, the staff members who took the resident to the baseball game were not informed of his special needs. The facility was cited for failing to ensure the resident's dietary restrictions were followed while on a facility outing.