Health inspection·April 25, 2023

F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to provide foot care to one of three sampled residents ( Resident 1). Residents Affected - Few As a result, Resident 1 ' s toenail was long and curled. This failure put Resident 1 at risk for fungal infection and affect her health status. Findings: Resident 1 was admitted to the facility on [DATE] with the diagnoses which included dementia (loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), per the facility ' s Face Sheet. On 3/16/23 at 11:20 A.M., an observation was conducted with Resident 1. Resident 1 was lying on her bed. She was awake and responded verbally but confused. Foot of the bed was slightly elevated. Noted Resident 1 ' s toenails were long and curled. On 3/16/23 at 11:25 A.M., a concurrent observation and interview was conducted with the DON. The DON confirmed that Resident 1 toenails were long and curled. DON stated Resident 1 should have had her toenails trimmed. The DON stated it was important to trim the toenails to prevent infections. On 3/16/23 at 11:55 A.M., an interview was conducted with CNA 1 . CNA 1 stated that she was assigned and familiar with Resident 1 ' s care. She stated that Resident 1 scheduled for shower twice a week. CNA 1 confirmed that Resident 1 ' s toenails were long and curled. CNA 1 stated that licensed nurses were responsible for the residents ' toenails. CNA 1 stated nail care for residents were scheduled every Sunday. On 3/16/23 at 3 P.M., an interview was conducted with CNA 3 . CNA 3 stated , nail care for residents were scheduled every Sunday and CNAs were responsible to trim the residents nail unless the resident was diabetic. CNA 3 stated , trimming of the foot nails were done by the licensed staff or the podiatrist. CNA 3 stated , licensed nurse would get report from the CNAs when residents toenails were long and needed to be trimmed. On 3/16/23 at 3:20 P.M., an interview was conducted with licensed nurse (LN) 1. LN 1 stated every Sunday , residents were checked for their nails and toenails. CNAs would provide nail care for those residents who were not diabetic. Licensed staff would notify Social Services department residents who needed to be seen by podiatrist for their toenails. (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: 055873 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 055873 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/25/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Community Care Center 8665 LA Mesa Blvd. LA Mesa, CA 91942 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)