Health inspection·February 6, 2026

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to provide care for Resident 1 that met professional standards of practice when:1. Resident's NPO status before PEG placement procedure was not verified with the physician (NPO is a medical abbreviation for the Latin phrase nil per os, which means nothing by mouth. It is a strict instruction from a doctor to not consume any food, liquids, or sometimes oral medications for a specific period, usually before surgery, PEG stands for Percutaneous Endoscopic Gastronomy. This is commonly referred to as a feeding tube that is placed directly into the stomach through the skin of the abdomen). 2. The resident's follow-up blood pressure (BP) readings were not obtained following administration of PRN blood pressure medication for seven occasions, and the physician was not notified of the interventions (PRN is a medical abbreviation for the Latin phrase pro re nata, meaning as needed).This failure resulted in Resident 1 in being transferred to the hospital and increased the resident's risk of developing health complications. Review of Resident 1's Situation, Background, Assessment, and Recommendation notes (SBAR, is a structured communication framework that can help teams share information about the condition of a resident) dated 7/2/25, indicated Resident 1 was for NPO in preparation for PEG placement. The SBAR indicated that the resident was not given his BP medications because he was on NPO. The SBAR indicated that when the resident's BP was checked at 1:00 p.m., the BP reading was 207/97 mmHg (A critical blood pressure reading defined as a systolic pressure (top number) of 180 mmHg or higher, mmHg is a form of measurement). Resident 1 was sent to the hospital on 7/2/26 at 3:00 p.m. for the critical high blood pressure. A review of Resident 1's admission Record (AR), dated 1/28/26, indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included dementia (memory loss and impaired decision-making capacity) and hypertensive heart disease ( a group of heart problems that happen because the heart has been forced to work too hard for too long due to high blood pressure). Review of Admission-Minimum Data Set (MDS), Resident Assessment and care guide tool, dated 6/20/25, indicated Resident 1's Basic Interview of Mental Status (BIMS) score was 00 (meaning poor cognition). During an interview on 2/5/26 at 2:00 p.m., with the Director of Nursing (DON), the DON stated the expectation from the charge nurses was to verify with the physician if the BP medications were to be given when the resident was to be on NPO due to an impending procedure or surgery. Stated Resident' 1s critical blood pressure placed the resident at risk to have a stroke (a medical emergency that happens when blood flow to the brain is suddenly cut off). Review of the facility's policy titled Surgery-Related (Preand Postoperative) Management - Clinical Protocol, Revised October 2010, indicated, Assessment and Recognition: 1. As needed, the physician will evaluate a resident who is scheduled to undergo surgery. a. The assessment will focus on pertinent items including a recent medical history, level of cognition and function, controlling active medical co-morbidities (such as congestive heart failure and hypertension). Treatment/Management: 1. As much as possible, the physician will address modifiable risk factors and potentially Residents Affected - Few (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: 055212 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 055212 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/06/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Vineyards Healthcare Center 76 Fenton Street Livermore, CA 94550 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)