Health inspection·March 26, 2025

F 0880 Provide and implement an infection prevention and control program. 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 current infection control practices were followed when the facility did not designate dedicated vital signs (VS) equipment (blood pressure cuff, stethoscope and thermometer) for two of two residents with clostridium difficile (C. diff- highly contagious bacteria in the large intestine causing diarrhea) infection reviewed for infection control. (Resident 1 and 4) Residents Affected - Few This failure had the potential to spread infection throughout the facility. Findings: Resident 1 was admitted to the facility on [DATE] with diagnoses including sepsis (the body ' s extreme and life-threatening response to an infection) according to the admission Record. During an observation on 3/26/25 at 9:27 A.M., Resident 1 ' s room door was closed with two signs posted outside the room. One sign indicated, .ENTERIC (pertaining to the intestines) CONTACT . The other sign indicated, .STOP .CONTACT PRECAUTIONS (measure to prevent the spread of infections that are transmitted through direct contact with an infected person or their environment) .Use dedicated or disposable equipment . A small, white cart with three drawers was outside Resident 1 ' s room. An observation and interview on 3/26/25 at 9:58 A.M. with Certified Nurse Assistant (CNA) 2 was conducted. CNA 2 stated Resident 1 was on isolation for C.diff. CNA 2 stated residents who were on isolation had a dedicated vital signs equipment inside the residents ' rooms. CNA 2 stated the thermometers were single use thermometers which were also in the residents ' rooms. CNA 2 was observed with a surgical mask (a medical face mask) on. CNA 2 applied a blue gown and gloves, then entered Resident 1 ' s room. CNA 2 was observed searching Resident 1 ' s room for the VS equipment. CNA 2 stated she did not find any VS equipment in Resident 1 ' s room. CNA 2 checked the white cart outside the room and there was no VS equipment on the cart. CNA 2 stated she was off yesterday, 3/25/25 and did not know if there was VS equipment in the room. A review of Resident 1 ' s care plan was conducted. A care plan initiated on 3/15/25 for Resident 1 indicated, .Isolation . is required for .C.DIFF INFECTION. At risk of transmitting an infection .Approaches .Dedicate equipment for isolation room . Resident 4 was admitted to the facility on [DATE] with diagnoses including cellulitis (deep infection of the skin caused by bacteria) of right and left lower limb (legs) according to the admission Record. (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: 555290 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 555290 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Stanford Court Skilled Nursing & Rehab Center 8778 Cuyamaca Street Santee, CA 92071 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)