Health inspection·February 12, 2025

F 0838 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to follow the Facility Assessment Tool (a document with facility-wide assessment to determine what resources are necessary to care for its residents competently during day-to-day operations), prior to accepting one of three sampled residents (Resident 1) at the facility. Facility did not ensure a Registered Nurse (RN) was available to care for Resident 1, who required continuous Antibiotic Intravenous Therapy (IV ATB- administration of antibiotic medications directly into the bloodstream through a vein to treat infection) for a period of three weeks. This failure resulted in Resident 1 to experience discomfort, frustration; an unplanned, and an avoidable discharge back to the hospital after three (3) days of being at the facility. Findings: During a review of Resident 1 ' s admission Record (a document with resident ' s basic personal information) printed on 2/12/25, the record indicated Resident 1 was admitted to the facility on [DATE] and discharged to an Acute Care Hospital (ACH) on 1/26/25. During a record review of Resident 1 ' s History & Physical (H&P- a term used to describe doctor ' s examination and care recommendations for a patient) dated 1/23/25, the H&P indicated Resident 1 underwent his third spinal surgery (back bone operation) electively, for a revision (a procedure to redo a previous surgery) and removal of hardware with placement of new hardware on 1/16/25. During a concurrent interview and record review on 2/12/25 at 11:32 a.m., with ADON, Resident 1 ' s Physician Order Summary Report dated 1/23/25 was reviewed. The order indicated Resident 1 was to receive 12 grams of Ampicillin Sodium Injection solution (an antibiotic medication to treat infections) intravenously (IV- administration of fluids, medications, or nutrients directly into a vein using a needle or catheter) every shift for infection, from 1/23/25 to 2/13/25. During an interview on 2/12/25 at 12:49 p.m., Admissions Coordinator (AC) stated she was responsible for receiving the referrals from Hospitals to admit new residents for continued care at the facility. The AC stated one of the admissions criteria at the facility was to meet patient ' s care needs. The AC stated she remembered discussing Resident 1 ' s hospital referral with the Director of Nursing (DON) at that time, prior to saying yes to the hospital. The AC stated she asked the DON if facility was able to care for Resident 1 with the need of continuous IV ATB therapy for 24 hours for three weeks, the DON told her yes, it was just like IV hydration. The AC stated after the DON ' s approval she accepted Resident 1 ' s referral and brought him to the facility on 1/23/25. (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: 055534 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 055534 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/12/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Reutlinger Community 4000 Camino Tassajara Danville, CA 94506 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)