Health inspection·February 12, 2026

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure that Resident 1 was treated with dignity and respect when staff placed a timer on the resident's table to indicate the duration of feeding and repositioning. This failure created pressure on Resident 1, making the resident feel rushed during meals, which had the potential to compromise Resident1's dignity and safety.Findings:A review of Resident 1's admission Record (AR), printed on 2/12/26, indicated, Resident 1 was admitted to the facility in April 2023, with a diagnosis of Quadriplegia (paralysis of all four limbs).A review of Resident 1's Minimum Data Set, (MDS, a standardized assessment tool used to evaluate a resident's physical, mental, and psychosocial health), dated 12/3/25, indicated, Resident 1's Brief Interview of Mental Status (BIMS, a score that measures cognition) score was 12. A BIMS score of 12 indicates that the resident has moderate cognitive impairment.A review of Resident 1's MDS dated [DATE], indicated, Resident 1 was completely dependent on staff during meals and required staff assistance with feeding. During an interview on 2/11/26 at 10:00 a.m., Certified Nursing Assistance (CNA) 1 stated that they regularly provide care to Resident 1. CNA 1 stated they were aware of the timer that was placed inside the resident's room.During an observation on 2/11/25 at 10:05 a.m., Resident 1 was seen lying in bed with the head of the bed elevated. A small, white-colored, rectangular timer that was palm-sized, with visible red markings on the front display, was seen on the resident's overbed table. Resident 1 stated that the Director of Nursing (DON) put the timer on the table two months ago. Resident 1 stated he felt rushed and worried that eating too fast could cause choking. Resident 1 stated that no one at the facility asked for his permission and/or consent before placing a timer in front of him. Resident 1 stated the last time staff used the timer was about a month ago.During an interview on 2/11/26 at 12:46 p.m., with the DON, DON stated that Resident 1 required two CNAs for one to two hours, and sometimes longer, to provide care. DON stated that Resident 1 had complained that CNAs did not spend enough time on his care. DON stated that after discussion with the Interdisciplinary Team (IDT), the team decided to place a timer in Resident 1's room to make Resident 1 aware of the amount of time CNAs were spending with him. During an interview on 2/12/26 at 11:01 a.m., with the Unit Manager (UM), UM stated that he placed the timer in Resident 1's room in December 2025 after speaking with Resident 1 and obtaining verbal permission from Resident 1. UM was unable to locate any documentation regarding the resident's agreement and/or consent for use of the timer. A review of facility's Policy and Procedure (P&P) titled, Resident Rights, dated February 2021, indicated, Employees shall treat all residents with kindness, respect, and dignity. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to a. dignified existence. be treated with respect, kindness, and dignity. self-determination. 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: 056327 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 056327 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/12/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Walnut Creek Skilled Nursing & Rehabilitation Cent 1224 Rossmoor Parkway Walnut Creek, CA 94595 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)