Health inspection·December 5, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, that facility failed to maintain required temperature range between 71 to 81 Fahrenheit (°F) with resident rooms in 44 of 68 random rooms inspected. Based on observation, interview, and record review, the facility failed to ensure resident room temperatures were kept at a comfortable and homelike level for 44 of 68 rooms inspected. This deficient practice had the potential for residents to feel uncomfortable. Findings: On 11/25/24 received a complaint related to the facility's physical environment, complaint of no heat in the facility and it was very cold. On 11/26/24 at 9:05 A.M., a concurrent observation and interview was conducted with Resident 2. Resident 2 was observed with three blankets in her bed. Resident 2 stated It was cold here in the middle of the night. Resident 2 stated she have thick blankets, padding under her bed and two blankets tow keep her warm On 11/26/2024 at an observation and interview was conducted with the Maintenance Assistant (MA). The MA stated the room temperature should be within 71 to 81 degrees F (°F). The MA holding a digital temperature gauge gun (reads digital number with a laser beam and aims on surface), proceeded to resident rooms and get the following room temperatures: Rooms and temperature readings: room [ROOM NUMBER] 68 °F room [ROOM NUMBER] 67 °F room [ROOM NUMBER] 68 °F room [ROOM NUMBER] 69 °F room [ROOM NUMBER] 69 °°F room [ROOM NUMBER] 67 °F (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 3 Event ID: 555323 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 555323 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Aviara Healthcare Center 944 Regal Road Encinitas, CA 92024 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)