Health inspection·February 13, 2026

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. 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 ensure for one of three sampled residents (Resident 2), who was continent of bowel and bladder functions, that he was not made to wear an adult brief (diaper) and not asked to urinate in it. This deficient practice resulted in Resident 2's inability to use the restroom and feeling like a child when made to wear diapers. This deficient practice had the potential for Resident 1's ability to use the restroom to diminish over time. Findings: During a review of Resident 2's admission Record (Face Sheet) the Face Sheet indicated Resident 2 was admitted to the facility on [DATE]. Resident 2's diagnoses included essential primary hypertension ([HTN] high blood pressure), spinal stenosis (narrowing spaces in the spine causing pain and numbness) and type 2 diabetes mellitus ([DM] a disorder characterized by difficulty in blood sugar control and poor wound healing) without complications. During a review of Resident 2's History and Physical (H&P), the H&P indicated Resident 2 had the capacity to understand and make decisions. During a review of Resident 2's Minimum Data Set ([MDS] a resident assessment tool) dated 1/1/2026, the MDS indicated Resident 2 required substantial /maximal assistant (helper dose more than half the effort) with sit to lying and he was dependent (helper does all the effort) with toilet transfer, tub/ shower transfers and sit to stand. During a review of Resident 2's Bowel and Bladder Evaluation dated 1/28/2026, the Bowel and Bladder Evaluation indicated Resident 2 was continent (ability to control your bladder). During a review of Resident 2's Care Plan dated 1/30/2026/, the Care Plan indicated Resident 2 had a deficit in performing his activities of daily living ([ADLs] activities such as bathing, dressing and toileting a person performs daily)) related to spinal stenosis. XXXX The Care Plan's interventions indicated Resident 2 needed two-persons to assist him with toilet transfers and to encourage him to participate to the fullest extent possible with each interaction. During an observation of Resident in his room and a concurrent interview on 2/11/2026 at 11:13 a.m., Resident 2 was observed pulling on an adult brief he was wearing, and stated he was placed in this adult brief and told to use the rest room in it. Resident 2 stated a nurse told him if he had to use the restroom just go in your adult brief. Resident 2 stated they could have given him a bedpan or a bedside commode to use and wearing an adult brief made it difficult for him to urinate, like his body was shutting down and he felt like a baby wearing adult briefs. During an interview on 2/11/2026 at 3:10 p.m., Certified Nursing Assistant (CNA) 1 stated she put an adult brief on Resident 2 because when he uses a urinal (a plastic container males use to urinate in) he urinates everywhere. CNA 1 stated she puts adult briefs on all her residents unless she is told not to do so. During an interview on 2/11/2026 at 3:35 p.m., Registered Nurse (RN ) 1 stated Resident 2 was continent of bowel and bladder and did not need to wear adult briefs. RN 1 stated Resident 2 should be allowed to use a bedside commode if that was what he wanted to do. During an interview on 2/12/2026 at 4 p.m., the Director of Staff Development (DSD) stated continent residents should be made to wear adult briefs. The DSD stated 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 5 Event ID: 056104 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 056104 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/13/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rose Villa Health Care Center 9028 Rose Street Bellflower, CA 90706 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)