Health inspection·February 18, 2026

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure care and treatment was provided, for one of four residents reviewed (Resident A), when Resident A had high blood pressure.This failure had potential for a delay in the care and treatment to address Resident A's high blood pressure and could affect the resident's overall health condition.Findings:On January 27, 2026, at 9:15 a.m., an unannounced visit was conducted to investigate a quality-of-care issue.On January 27, 2026, Resident A's record was reviewed. Resident A's admission Record, indicated the resident was admitted to the facility on [DATE], with diagnoses which included hypertension (high blood pressure).A review of Resident A's Order Summary Report, included a physician's order, dated November 18, 2024, which indicated, .Terazosin HCL (medicate to treat high blood pressure) Oral Capsule 1 (one) MG (milligram - unit of measurement).Give 1 (one) capsule by mouth at bedtime for systolic (the first (top/upper) number) of > (more than) 140.A review of Resident A's Minimum Data Set (MDS - a resident assessment tool), dated November 25, 2025, indicated Resident A had a BIMS (Brief Interview of Mental Status) score of 9 (impaired cognitive status).A review of Resident A's eINTERACT Change in Condition Evaluation, dated January 14, 2026, at 2:38 p.m., indicated, .Tachycardia (elevated heart rate), increased BP (blood pressure), decreased BP, c/o dizziness and shakiness.Resident had c/o (complaint of) feeling dizzy and shaky. VS (vital signs) were obtained to be as follows: at 0943am (9:43 a.m.) BP 157/122 mmHg (millimeter mercury - unit of measurement).Around afternoon 13:21 (1:31 p.m.) resident still c/o dizziness and shakiness with BP of 78/59 mmHg, Notified (name of physician) immediately with order to send out resident to ER for further evaluation.On January 27, 2026, at 2:39 p.m., during an interview conducted with the Registered Nurse (RN), she stated she was the licensed nurse in charge of Resident A when the resident was sent out to the hospital on January 14, 2026. The RN stated the following:-She was passing the morning medications for the residents in Station 2, and Resident A was complaining of dizziness and shakiness, and the resident's BP was obtained and indicated it was high at about 150/120 (could not recall the exact BP reading);-She notified the physician around 9:40 a.m., and received orders to monitor the resident and give supplemental oxygen, and obtain medical history from the resident. However, Resident A refused the oxygen.-She notified the physician around 1 p.m., that Resident A refused the oxygen, had history of stroke, and the BP taken was 78/59 with heart rate of 120 (normal range is 60 to 100 beats per minute). The physician ordered to send out Resident A to the acute hospital;-She stated she did not monitor or check Resident A's BP from 9 a.m. when the elevated BP was initially identified, not until 1 p.m., when the BP was low and had a high heart rate. She stated she should have closely monitored the resident's BP, frequently checked on the resident's status, and notified the physician timely.On January 27, 2026, at 4:15 p.m., a concurrent interview and record review was conducted with the Director of Nursing (DON). The DON stated the following:-The RN notified her of Resident A's high blood pressure after 10 a.m., and advised the RN to call the physician; and-She Residents Affected - Few (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: 555747 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 02/18/2026 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)