Inspection·March 4, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm 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. Based on observation, interview, and record review, the facility failed to provide adequate linens for two of three residents (Resident 2 and 3). Residents Affected - Few This failure had the potential to delay care and unmet needs for Resident 2 and 3. Findings: On February 13, 2025, at 11:05 a.m., during an interview with Resident 2, she stated she had to wait to be changed or showered due to facility had no linens, washcloths and towels available. Resident 2 further stated it gets frustrating, but the staff do what they can and try to find linens. On February 13, 2025, at 11:25 a.m., during an interview with Resident 3, she stated the facility do not have linens, washcloths and towels and she had to wait to be changed or showered until linens become available. On February 13, 2025, at 11:39 a.m., during a concurrent observation and interview of the linen closets in nursing stations one and two, with Licensed Vocational Nurse (LVN) 1, inside the linen closets, there were no linens, washcloths, and towels. LVN 1 stated he had received multiple complaints from Certified Nurse Assistants (CNA's) about not being able to provide resident care due to the lack of linen, towels, and washcloths. LVN 1 further stated this issue has been ongoing for one or two months and had been reported to the Administrator and Director or Nursing (DON). LVN 1 stated the residents had to wait for care until laundry services provided clean linens. LVN 1 further stated the facility should have enough linens to provide care to the residents and prevent delay in care. On February 13, 2025, at 12 p.m., during an interview with LVN 2, she stated the facility had ongoing linen shortage and reported receiving complaints from CNAs about the inability to care for residents without adequate linens. LVN 2 stated the facility should have linens, towels, washcloths to care for residents to prevent delay in care. On February 13, 2025, at 12:39 p.m., during an interview with CNA 2, she stated the linen shortage had been ongoing, causing residents to wait for changes and care. On February 13, 2025, at 12:45 p.m., during an interview with CNA 3, she stated acquiring linens had been difficult, leading to delays in resident care. (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: 056315 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 056315 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Citrus Grove Post Acute 9025 Colorado Avenue Riverside, CA 92503 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)