Health inspection·April 17, 2025

F 0850 Hire a qualified full-time social worker in a facility with more than 120 beds. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to employ a qualified Social Services Director (SSD) on a full- time basis that met the qualifications specified in the regulation. Residents Affected - Some This deficient practice placed all 151 residents at risk of not receiving medically-related social services necessary to attain their highest practicable well-being. Findings: An anonymous complaint regarding the SSD not meeting job qualifications was received by the California Department of Public Health. On 4/17/25, an unannounced site visit was conducted. An interview was conducted with the Director of Nursing (DON) on 4/17/25 at 2:10 P.M. The DON stated there had been some staff turnover in the SW department. Per the DON, the current SSD had been in the role for about one year. A concurrent record review and interview was conducted with the DON on 4/17/25 at 3 P.M. The DON reviewed the employment file for the SSD and stated the SSD had an associates degree in nursing, but was not a licensed nurse. The DON reviewed the facility job description for the Social Services Director, signed on 4/4/24 and stated, The SSD does not have a degree in Social Work or any other related area of study. She does not qualify to be in the role. The DON stated having an unqualified SSD may put residents at risk for not getting the social services they needed. A concurrent interview and record review was conducted with the Human Resources Administrator (HRA) on 4/17/25 at 4 P.M. The HRA stated all job descriptions include the education and/or experience required for the role. The HRA reviewed the job description for the SSD, and stated the job required a bachelor ' s degree in social work or related field, and the current SSD did not have the required degree. The HRA stated it was the role of the administrator or hiring manager to ensure the job candidate had the required education. An interview was conducted with the SSD on 4/17/25 at 4:10 P.M. The SSD stated she had interviewed with the former Administrator of the facility, who told her she was qualified for the job and placed her in the position. The SSD stated she did not have a degree in Social Work. The SSD stated she had a current Certified Nursing Assistant (CNA) certification, and had completed an associates degree in nursing, but had not taken the nursing board exam. The former Administrator no longer worked at the facility. The current Administrator was (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: 055806 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 055806 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Villa Las Palmas Healthcare Center 622 South Anza Street El Cajon, CA 92020 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)