Health inspection·January 15, 2026

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure home health services were confirmed prior to discharge for three of three sampled residents (1, 2, 3).As a result, the residents were at risk of having unmet care needs, discharge summaries for Resident 1 and Resident 2 were inaccurate, and Resident 1 had to go to a General Acute Care Hospital (GACH) to have his post-discharge needs met.Findings:1. Per the facility's admission Record, Resident 1 was admitted to the facility on [DATE] with diagnoses to include peritoneal abscess (infection in the abdomen) and change or removal of surgical wound dressing. Resident 1 discharged to home on [DATE].Per the facility's Orders, there was an order dated 12/26/25 at 5:07 P.M., for Resident 1 to discharge from the facility on 12/26/25 with Home Health services for Registered Nurse visits, wound care, and Physical Therapy visits.Per the facility's Progress Notes, dated 12/26/25 at 6:13 P.M., At around (6 P.M.). patient is being discharged to home.Wound VAC (a sealed wound dressing that uses a vacuum pump to maintain suction on the wound to remove fluid and promote healing) present to midline abdominal incision (a surgical incision to the stomach).Per the facility's Discharge Summary and Post-Discharge Plan of Care, dated 12/26/25 at 4:48 P.M., We have arranged the following community resources to assist your transition to your new living environment.Name of Agency: [Home Health Agency (HHA) 1]Per the facility's Confirmation Report, dated 12/26/25, a referral was faxed to HHA 1 on 12/26/25 at 6:29 P.M., (about 29 minutes after Resident 1 discharged from the facility.) A handwritten note was on the fax stating that HHA 1 did not accept the referral.Per the facility's Progress Notes, dated 1/8/26, there were no progress notes regarding Resident 1's discharge planning prior to the Social Services Assistant (SSA)'s notes on 12/30/25 (four days after discharge).Per the GACH's admission History and Physical note, dated 1/1/26, Resident 1 was admitted to the GACH on 12/30/25 (four days after discharge) and Resident 1 stated that had a wound VAC placed and was told that home health was going to come to his house 3 times a week to help with he wound VAC.He went home to his family on Friday and since then no nurse has arrived, he has not known how to take care of his wound VACOn 1/14/26 at 4:05 P.M., a telephone interview was conducted with the Social Services Assistant (SSA). The SSA stated, on 12/30/25 (four days after discharge) the SSS asked her to help send referrals to HHAs.On 1/15/26 at 2:33 P.M., an interview was conducted with the Administrator and Director of Nursing In Training (DONIT). The Administrator stated, the process of sending out referrals to HHAs should have started as soon as the facility became aware of a resident's discharge date . The DONIT stated, the HHAs should have been confirmed prior to the residents' discharges.2. Per the facility's admission Record, Resident 2 was admitted to the facility on [DATE] with diagnoses to include difficulty walking and pneumocystosis (a fungal infection in the lungs). Resident 2 discharged to home on [DATE].Per the facility's Orders, there was an order on 12/29/25 at 9 A.M. for Resident 2 to discharge to home with Home Health services for Registered Nurse visits, and Physical Therapy visits.Per the facility's Discharge (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 055067 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 055067 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/15/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Palomar Vista Healthcare Center 201 N Fig Street Escondido, CA 92025 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)