Health inspection·November 18, 2025

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure 1 of 3 sampled residents (Resident 1) did not have a diaper and bed linen soaked with urine.This failure placed Resident 1 at risk for skin breakdown.Findings:During a concurrent observation and interview on 9/29/2025 at 11 a.m. with the Certified Nurse Assistant (CNA 1), Resident 1 was observed lying in bed with diaper soaked with urine, the linen on bed was wet of urine from the low back to mid thighs. Resident 1 was observed scratching her buttocks area using her right hand with hand mitten (protective devices used to prevent self-harm, such as scratching, and to stop patients from pulling out essential medical equipment like intravenous lines or catheters). CNA1 stated he had not provided Resident 1 with morning care or a diaper change. During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was originally admitted to the facility on [DATE] and readmitted on [DATE]. Resident 1's diagnoses included dementia (loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life), dysphagia (a medical condition characterized by difficulty or discomfort in swallowing), and peripheral vascular disease (a condition where the arteries and veins in the limbs, usually the legs become narrowed or blocked, reducing blood flow).During a review of Resident 1's Minimum Data Set (MDS-a resident assessment and care planning tool), dated 8/14/2025, the MDS indicated Resident 1 had clear speech but was sometimes understood. The MDS indicated Resident 1 responds adequately to simple, direct communication only. The MDS indicated Resident 1 was dependent (helper does all the effort) on staff for toileting hygiene, personal hygiene, and with rolling left to right (the ability to roll from lying back to left to right and return to lying on back on the bed). The MDS indicated Resident 1 was incontinent (unable to voluntarily control retention of urine or feces in the body) of bowel (defecation) and bladder (urine).During a review of Resident 1's untitled care plan, dated 10/7/2025, the care plan indicated Resident 1 was incontinent of bowel and bladder related to cognitive loss/inability to recognize and communicate toileting needs. The care plan goals indicated Resident 1's continent care needs will be met by staff to maintain dignity and comfort and to prevent incontinence related complications. The care plan interventions included assisting Resident 1 with perineal care as needed and providing comfort.During an interview on 9/29/2025 at 11:50 with CNA1, CNA 1 stated he checked on Resident 1 at the beginning of his shift but did not check her diaper. CNA 1 stated failure to provide incontinent care in a timely manner will result in skin redness, skin irritation and developing wounds. During a review of the facility's policy and procedure (P&P) titled Perineal Care, dated 2/2018, the P&P indicated to provide cleanliness and comfort to the resident, to prevent infections and skin irritation. 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: 555004 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 555004 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Playa Del Rey Center 7716 Manchester Avenue Playa Del Rey, CA 90293 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)