Health inspection·March 27, 2025

F 0558 Resident 5 had a BIMS score of 15 (cognitively intact), and required assistance in ADLs. Level of Harm - Minimal harm or potential for actual harm 3. On March 27, 2025, at 10:50 a.m., an interview with Resident 1 was conducted. Resident 1 stated she felt there was enough staff help in the day shift but not at night. Resident 1 stated staff did not answer the call light timely. Resident 1 stated it would take over 30 minutes to an hour for the call light to be answered most of the time. Resident 1 stated sometimes the staff answer the call light and sometimes they did not. Resident 1 also stated she mostly uses the call light to get assistance to use the bathroom. Resident 1 further stated more than once she was left soiled because staff did not answer her call light. Resident 1 stated she felt awful, and she just wanted to be clean. Residents Affected - Few Resident 1 ' s record was reviewed. Resident 1 ' s admission Record, indicated the resident was admitted to the facility on [DATE], with diagnoses which included seizure (disturbance of brain function) cyst of the pancreas (fluid filled sac on the pancreas), dysphagia (difficulty swallowing), muscle weakness, difficulty walking and need for assistance with personal care. Resident 1 ' s MDS, dated March 3, 2025, indicated Resident 1 had a BIMS score of 15 which indicated cognitively intact, and Resident 1 required substantial/maximal assistance for toileting. Resident 1 ' s care plan. dated March 19, 2025, indicated a Focus that Resident 1 was at risk for further decline in function status: bed mobility, transfers, locomotion, ambulation, dressing, toileting, hygiene, bathing, and eating, and intervention indicated, anticipate and assist with Activity of Daily Living (ADL) needs, and assist with toileting; keep clean and dry. On March 27, 2025, at 11:33 a.m. observed a licensed nurse sitting at the nurse ' s station 3. The call lights were observed ringing and lit on the board at the nurse station for two rooms. The call lights had been on for over 10 minutes without anyone answering them, and the licensed nurse had to be alerted that the call lights were on. On March 27, 2025, at 12:00 p.m., an interview with the Director Staff Development. (DSD) was conducted. The DSD stated her expectation was that staff answered call lights right away or within 3 to 5 minutes. The DSD stated some negative outcome could be personal needs of the residents would not be met, residents could wet their beds, or resident could develop wounds. The DSD also stated it was not her expectation that a resident wait over 10 minutes for the call light to be answered. The DSD stated any staff could answer the call light. The DSD further stated the call light made a sound, it can be heard, and the room number lit up on the board at the nurses station. On March 27, 2025, at 1:10 p.m., an interview with the Director of Nursing (DON) was conducted. The DON stated the call lights should be answered in a timely manner and if staff was busy, they could answer the call light, check on the resident and inform them they would follow up. The DON further stated it was everyone ' s responsibility to answer the call lights. The DON stated the call light had a sound and could be heard. A review of the facility ' s policy and procedure titled, Dignity, dated February 2021, indicated, .Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being .level of satisfaction with life .and feelings of self-worth and self-esteem .Demeaning practices and standards of care that compromise dignity are prohibited. Staff are expected to promote dignity and assist residents; for example: promptly responding to a resident ' s request for toileting assistance . (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555747 If continuation sheet Page 2 of 3 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 555747 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Murrieta Health and Rehabilitation Center 24100 Monroe Avenue Murrieta, CA 92562 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)

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete A review of the facility ' s undated policy and procedure titled, Answering the Call Light, indicated, .The purpose of this procedure is to ensure timely responses to the resident ' s request and needs .Answer the resident call system immediately .If the resident needs assistance, indicate the approximate time it will take for you to respond . A review of the facility ' s policy and procedure titled, Resident Rights: dated February 2021, indicated, .Employees shall treat all residents with kindness, respect, and dignity .Federal and state laws guarantee certain basic rights to all residents of this facility .these rights include the resident ' s right to: a dignified existence .be treated with respect, kindness, and dignity . Event ID: Facility ID: 555747 If continuation sheet Page 3 of 3