Health inspection·December 10, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to provide a safe, comfortable, homelike environment for three of four sampled residents (Residents 1, 2, and 3) when a broken HVAC (Heating, Ventilation, and Air Conditioning) unit was not repaired in a timely manner, resulting in the inability for staff to control the temperature within a unit of the facility.As a result, Residents 1, 2, and 3 were uncomfortable and reported feeling too cold during the night.Findings:1. During a record review on 12/10/25 the admission Record indicated Resident 1 was admitted on [DATE] with diagnoses which included fibromyalgia (a condition that causes widespread body pain, fatigue, and sleep issues), need for assistance with personal care.During a record review, the MDS (Minimum Data Set-a federally mandated assessment tool) indicated Resident 1 had a BIMS (Brief Interview for Mental Status) of 12, which indicated moderate cognitive impairment.During a concurrent observation and interview with Resident 1 on 12/10/25 at 7:22 A.M., Resident 1 was observed in bed, with multiple white and brown blankets covering her. There was an air vent observed on the ceiling, directly above the foot of Resident 1's bed. Resident 1 stated, The last few nights its been very cold. I've got a lot of blankets on me right now. At night, its so cold, even with the covers my body is like ice. Resident 1 stated the vent blew air towards her, which made her feel colder. Resident 1 stated she slept with her head under the covers because it was so cold.2. During a record review on 12/10/25 the admission Record indicated Resident 2 was admitted on [DATE] with diagnoses which included need for assistance with personal care, chronic obstructive pulmonary disease (a lung disease which makes breathing difficult) and bradycardia (a slow heart rate).During a record review, the MDS (Minimum Data Set-a federally mandated assessment tool) indicated Resident 1 had a BIMS (Brief Interview for Mental Status) of 12, which indicated moderate cognitive impairment.During a concurrent observation and interview with Resident 2 on 12/10/25 at 7:49 A.M., Resident 2 was observed laying in bed with a brown blanket on her. Resident 2 stated, Its too cold here, not just at night, but all day.It seems like its really cold between 4 and 6 in the morning. Resident 2 stated the thermostat could not be adjusted to a warmer temperature, but she was unsure why. Resident 2 stated staff brought her a space heater to use, but the resident next door was using it.3. During a record review on 12/10/25 the admission Record indicated Resident 3 was admitted on [DATE] with diagnoses which included difficulty in walking, need for assistance with personal care, and unspecified fall.During a record review, the MDS (Minimum Data Set-a federally mandated assessment tool) indicated Resident 1 had a BIMS (Brief Interview for Mental Status) of 12, which indicated moderate cognitive impairment.During a concurrent observation and interview with Resident 3 on 12/10/25 at 7:53 A.M., Resident 3 was observed laying in bed. There was a space heater observed across the room, on the floor. The space heater was turned on. Resident 3 stated staff provided the space heater to her I have them turn it on from 6 to 9:30 in the morning. Otherwise its too cold at night. (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 3 Event ID: 055685 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 055685 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brighton Place Spring Valley 9009 Campo Road Spring Valley, CA 91977 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)