Health inspection·April 24, 2024

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure infection control practice was followed when two of three direct patient care staff were observed to wear long and artificial nails. Residents Affected - Few This failure had the potential for the vulnerable residents to be exposed to bacterial cross contamination and the development of infection. Findings: On April 24, 2024, an unannounced visit was conducted to investigate a facility reported incident and a complaint. During a concurrent observation and interview on April 24, 2024, at 5:10 a.m., with Certified Nursing Assistant (CNA) 1, CNA 1 was observed to wear long painted nails on both hands. The fingernails were pointed, and approximately more than quarter of an inch long passed the tip of the finger. CNA 1 stated she was from the registry (a staff personnel provided by a placement service on a temporary or on a day-to-day basis). CNA 1 stated she was allowed by the registry to have long fingernails at work. During a concurrent observation and interview on April 24, 2024, at 5:18 a.m., with the Licensed Vocational Nurse (LVN), the LVN was observed to wear long, acrylic (fake or artificial) nails on both hands. The LVN acknowledged she had long, acrylic nails on both hands. LVN 1 stated the long, acrylic nails were probably not allowed at work. During an observation and interview on April 24, 2024, at 5:47 a.m., with CNA 2, CNA 2 had short nails. CNA 2 stated long, and artificial nails were not allowed for the staff to wear because of the possibility of scratching the resident and will create a skin tear when rendering care to the resident. During an interview on April 24, 2024, at 5:54 a.m., with the Director of Nursing (DON), the DON stated acrylic nails and long nails were not allowed at work for direct patient care (hands on) staff. The DON checked and measured the LVN and CNA 1's nails. The DON stated the LVN's nails were long and acrylic. The DON stated CNA 1's nails were also long. The DON stated she measured both the LVN and CNA 1's nails and the nails were longer than a quarter of an inch passed the tip of their fingers. The DON stated direct patient care staff should not wear long nails due to infection control. She also stated registry staff was not exempt from following the facility policy. The DON stated that whatever applies to the facility staff should also apply to the registry staff. (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: 555711 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 555711 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/24/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Community Care on Palm 4768 Palm Avenue Riverside, CA 92501 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)