Inspection·May 6, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. 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 a resident who required assistance with incontinent (loss of bowel and bladder control ) care, was provided care in a timely manner for one of four sampled residents (Resident 4) reviewed for ADL (activities of daily living- bathing or showering, dressing, getting in and out of bed or a chair, walking, toileting and eating) care. Residents Affected - Few This failure resulted in not meeting Resident 4 ' s need for comfort and had the potential for further complications such as skin breakdown and infection. Findings: Resident 4 was admitted to the facility on [DATE] with diagnoses including left fibula (the smaller of the two bones in the lower leg) fracture and type 2 diabetes with hyperglycemia (abnormal high blood sugar) according to the facility ' s admission Record. On 5/6/25 at 8:45 A.M. an unannounced onsite visit to the facility was conducted related to a complaint regarding lack of staff assistance with a resident ' s incontinent care. During an interview on 5/6/25 at 9:33 A.M. with CNA 1, CNA 1 stated call lights should be answered within 5 minutes because if a resident was wet, the resident can develop a skin breakdown. CNA 1 further stated if a resident was constantly wet, the resident can get an infection such as a urinary tract infection. During an interview on 5/6/25 at 9:42 A.M. with Resident 4, Resident 4 stated during the first week of her admission she waited one hour before her brief was changed. Resident 4 stated it was very uncomfortable because she had a bowel movement. Resident 4 stated this morning (5/6/25) when her breakfast tray was served, she requested the Certified Nurse Assistant (CNA) to change her brief because it was, Soaking wet. Resident 4 stated the CNA told her that breakfast trays were still being passed and Resident 4 ' s brief will be changed after passing of trays. Resident 4 stated she waited an hour for the CNA to return to change her brief. Resident 4 stated she felt, Uncomfortable because she was wet. A review of Resident 4 ' s bowel and bladder assessment dated [DATE] was conducted. The assessment indicated that Resident 4 had bladder and bowel incontinence with a usual voiding pattern of upon rising and after meals. During a review of Resident 4 ' s care plans, the care plan dated 4/29/25 indicated, .Resident is incontinent of [x] bladder ]x] bowel and is not a candidate for retraining due to long history of (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: 056330 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 056330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/06/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Reo Vista Healthcare Center 6061 Banbury St. San Diego, CA 92139 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)