Health inspection·April 18, 2025

F 0685 Assist a resident in gaining access to vision and hearing services. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to change a hearing aid filter for one of three sampled residents (Resident 1) per instructions from an outside clinic. Residents Affected - Few This failure had the potential for Resident 1's hearing aid to be less effective, potentially impacting Resident 1's ability to hear and communicate. Findings: During a concurrent interview and record review, on 4/16/25, beginning at 3:30 p.m., with the Health Information Manager (HIM 1) and Assistant Director of Nursing (ADON 1), Resident 1's medical record was reviewed. Resident 1 had an appointment at an outpatient clinic on 2/27/25, where Resident 1 returned to the facility with new hearing aids. The outside clinic provided instructions to change the hearing aid filter once a month. The HIM 1 and ADON 1 verbalized Resident 1's hearing aid filter should have been changed on 3/27/25, but it did not happen until 4/8/25. The ADON 1 verbalized the facility could not provide documentation indicating when it received Resident 1's office visit summary with care instructions for Resident 1's 2/27/25 outpatient clinic visit. Resident 1's Progress Notes dated 4/2/25, indicated the facility was not aware Resident 1's hearing aid needed a filter change until 4/2/25, when Resident 1's responsible party requested for Resident 1's hearing aid filter to be changed. Page 1 of 2 555163 555163 04/18/2025 Shoreline Care Center 5225 South J Street Oxnard, CA 93033

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to follow its scabies (a contagious skin disease marked by itching and small raised red spots, caused by mites) protocol for one of three sampled Residents (Resident 1). Residents Affected - Few This failure had the potential for scabies to spread throughout the facility. Findings: During a concurrent interview and record review, on 4/17/25, at 1:50 p.m., with the Assistant Director of Nursing (ADON 1), Resident 1's medical record was reviewed. Resident 1's medical record indicated Resident 1 was seen by a Dermatologist (a medical practitioner specializing in the diagnosis and treatment of skin disorders) on 4/4/25, where Resident 1 was suspected to have scabies. Resident 1 was prescribed Permethrin 5% cream (a medication commonly used to treat scabies). The ADON 1 verbalized the facility could not provide documentation indicating it placed Resident 1 on enhanced barrier precautions on 4/4/25, upon return to the facility, when Resident 1 was suspected of having scabies. During a concurrent interview and record review, on 4/17/25, at 2:48 p.m., with the Infection Preventionist (IP 1), Resident 1's medical record and scabies protocol were reviewed. The IP 1 verbalized and confirmed Resident 1 should have been placed on isolation precautions upon return to the facility on 4/4/25, with suspected scabies, but was not. The IP 1 was asked if the IP 1 had developed a contact identification list, when Resident 1 returned to the facility on 4/4/25, with suspected scabies. The IP 1 verbalized no. The IP 1 verbalized and confirmed facility nursing staff had not received any training on how to recognize and report residents with signs and symptoms consistent with scabies infestation. When asked what scabies protocol the facility utilized/adhered to, the IP 1 provided the document Prevention and Control of Scabies in California Healthcare Settings dated 8/20. The document indicated in part, Contact isolation precautions should be instituted until the suspected (or preliminary) diagnosis has been confirmed and appropriately treated or ruled out .The scabies prevention, control and outbreak management program should include training all physicians, nurses and other HCP (health care personnel) to recognize and report any patient/resident with signs and symptoms consistent with scabies infestation .As soon as a possible case of scabies is identified, the IP (infection preventionist) should develop a contact identification list. 555163 Page 2 of 2