Health inspection·April 7, 2025

F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure choice was offered to accomodate a preference for a shower for one resident (Resident 304). This failure had the potential to cause psychological harm to Resident 304. Findings. Resident 304 was admitted to the facility on [DATE] with diagnoses that included Spinal Stenosis (the spaces inside the bones of the spine gets too small) and Discogenic Pain (localized back pain that worsens with activities that increase pressure on the spine). On 4/7/25 at 10:20 A.M., an interview with Certified Nursing Assistant (CNA) CNA 1 was conducted. CNA 1 stated on 3/21/25 in the morning, she and CNA 2 went into Resident 304 ' s room and told Resident 304 she was getting a shower then immediately transferred from the bed to the shower. CNA 1 stated during transfer, Resident 304 had urinated on herself and bowel movement. CNA 1 stated they had to put Resident 304 back to bed to clean her up, then place in the Hoyer lift to transfer Resident 304 to the shower chair. On 4/7/25 at 11:20 A.M., an interview with Resident 305 was conducted. Resident 305 stated she had been Resident 304 ' s roommate since she got admitted to the facility. Resident 305 stated she seen and witnessed the incident on 3/21/25 when Resident 304 was to have a shower that day. Resident 305 stated she had seen Resident 304 yanked out of her bed and hoist Resident 304 up from the bed. A review of Resident 305 ' s Minimum Data Set (MDS- a federally mandated assessment tool) dated 3/21/25 indicated Resident 305 ' s brief interview for mental status (BIMS) score was 14 which meant Resident 305 ' s cognition (thought process) was intact. On 4/7/25 at 11:35 A.M., an interview with Resident 304 was conducted. Resident 304 stated CNA 1 and CNA 2 went into her room and stated you are getting a shower. Resident 304 stated she was not given a choice if she wanted the shower or not. Resident 304 stated she felt bad when she started peeing and pooping on herself while being transferred to the shower chair with both CNA 1 and CNA 2. Resident 304 stated CNA 1 and CNA 2 were both arguing about how to operate the Hoyer lift and that made Resident 304 upset and worried. Resident 304 stated after the incident, a psychiatrist came to see her to discussed and offered anti-anxiety medication, but Resident 304 refused. Resident 304 stated it was her first time in a convalescent home and did not know what to expect. (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 4 Event ID: 555246 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 555246 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Vista View Post Acute 304 N. Melrose Dr Vista, CA 92083 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)