Health inspection·January 28, 2026

F 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to: 1.Ensure a Change of condition ([COC] -a significant deviation from a patient baseline condition that requires immediate assessment and intervention to prevent further decline) form was initiated for Resident 3 with a skin rash (an area of irritation, inflamed, or damaged skin). 2. Provide treatment for Resident 3's skin rash. 3. Give a complete assessment report to General Acute Care Hospital ([GACH] -a hospital 24-hour medical services) regarding Resident 3's skin rash prior to admission. This deficient practice of not reporting, treating, or monitoring Resident 3's skin rash resulted in a diagnosis with scabies (highly contagious skin infestation).During a review of Resident 3's admission Record ([Face Sheet] front page of the chart that contains a summary of basic information about the resident), the Face Sheet indicated Resident 3 was initially admitted to the facility on [DATE] and was readmitted on [DATE]. Resident 3's diagnoses schizophrenia (a mental illness that is characterized by disturbances in thought), cardiomegaly (enlarged heart), and chronic kidney disease (progressive, irreversible loss of renal function). During a review of Resident 3's history and physical (H&P), dated 1/11/2026, the H&P indicated Resident 3 had fluctuated capacity to understand and make decisions. During a review of Resident 3's Minimum Data Set ([MDS] a resident assessment tool), dated 10/30/2025, the MDS indicated Resident 3's cognition (ability to learn, reason, remember, understand, and make decisions) was cognitively intact. The MDS indicated Resident 3 was independent (resident completes the activity by themself with no assistance from a helper) for eating, showering, and dressing. During a review of Resident 3's Progress Notes, dated 1/10/2026, the progress notes indicated resident was readmitted to the facility with generalized itchy rashes on her whole body. During a review of Resident 3's Skin Check, dated 1/10/2026, the skin check indicated Resident 3 had a rash on the abdomen, cervical region, and bilateral front and back thighs. The skin check indicated to track, and it was a new issue. During a review of Resident 3's Multidisciplinary Care Conference (IDT), dated 1/13/2026, the IDT had no indication of Resident 3's rash nor medical treatments for the itchy generalized rash. During a review of Resident 3's Skin Check, dated 1/15/2026, the skin check indicated Resident 3 had a rash on the abdomen, cervical region, and bilateral front and back thighs. The skin check indicated to track and needed to be reviewed. During a review of Resident 3's discharge summary titled, SNF/NF to Hospital Transfer Form, dated 1/15/2026, the discharge summary indicated Resident 3 had no skin issues. During a review of Resident 3's GACH records, dated 1/15/2026, the GACH records indicated Resident 3 had generalized rash on the whole body. During a review of Resident 3's GACH records, dated 1/17/2026, the GACH records indicated Resident 3 was on isolation precaution due to scabies. During a concurrent interview and record review on 1/27/2026 at 2:30 p.m., with Treatment Nurse (TN) 1, Resident 3's Progress Notes, dated 1/10/2026 was reviewed. The progress notes indicated resident was readmitted to the facility on [DATE] with generalized itchy rashes on her (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: 055167 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 055167 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/28/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Vernon Healthcare Center 1037 W. Vernon Avenue Los Angeles, CA 90037 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)