Health inspection·December 17, 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 interview and record review the facility failed to implement their policy and procedure for INFECTION CONTROL GUIDELINE FOR PEOPLE WITH HEAD LICE (PEDICULUS HUMANUS CARPITIS- tiny, wingless, blood-feeding insects that live on the human scalp and hair) for one of three sampled residents (Resident 1). This failure resulted in delayed treatment for Resident 1 and had the potential for lice to spread throughout the facility affecting other residents, staff, and visitors.Findings:During an interview on 12/17/25 at 8:56 a.m. with complainant, complainant stated on 11/6/25 at approximately 8:13 p.m. they found Resident 1 with lice on his pillow. Complainant stated she reported the finding of lice to staff (unable to identify). Complainant stated on 11/16/25 she found Resident 1 with more lice and reported it to staff (unable to identify). Complainant stated on 11/17/25 she found lice on Resident 1 again and reported it to staff (unable to identify). Complainant on 11/17/25 staff she spoke to had no knowledge of the previous complaints about lice and placed Resident 1 on isolation (State of being separated from others. Isolation is sometimes used to prevent disease, infection, and/or other contagious issues from spreading).During a review of Resident 1's Progress Note - Subacute (PNS), dated 10/30/25, the PNS indicated, Resident 1 was admitted to the facility on [DATE] with diagnosis of persistive vegetative state (someone's brain is severely damaged, so they seem awake (eyes open, sleep-wake cycles) but are totally unaware of themselves or their surroundings, lacking thinking or purposeful actions, though basic reflexes and body functions (like breathing) can still work), chronic respiratory failure (lungs gradually become too weak or damaged over time to do their main job: getting enough oxygen into your blood), and ventilator dependence (relying on a machine to breathe due to the body being unable to do it on its own).During an interview on 12/17/25 at 12:52 p.m. with Licensed Vocational Nurse (LVN) , LVN 1 stated he had worked with Resident 1 on 11/6/25 but was not made aware of any lice from family and/or staff. LVN 1 stated if he had been made aware he would have placed Resident 1 immediately on isolation.During an interview on 12/17/25 at 12:55 p.m. with Certified Nursing Assistant (CNA) 1, CNA 1 stated she had worked with Resident 1 on 11/6/25. CNA 1 stated complainant had told her about Resident 1 having head lice. CNA 1 stated complainant showed her a picture of the lice on 11/6/25. CNA 1 stated she could not remember if she had reported the lice to her nurse and stated she could not remember who the nurse was.During a concurrent interview and record review on 12/17/25 at 1:02 p.m. with Infection Control Nurse (ICN), Resident 1's Electronic Medical Chart (EMC), was reviewed. ICN stated she was not notified of Resident 1's lice infestation on 11/6/25. ICN stated Resident 1 was placed on isolation for lice on 11/16/25 (10 days after the lice were initially observed). ICN stated the facility interventions for lice is to immediately place the resident or residents on isolation and notify the physician. ICN stated there was no physician notification about Resident 1 having a lice infestation made on 11/6/25.During an interview on 12/17/25 at 1:05 p.m. with Registered Nurse (RN) 1, RN 1 stated he had worked with Resident 1 on 11/16/25 and noted family had made a complaint about him 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: 555766 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 555766 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Sierra View Medical Center 465 W Putnam Ave Porterville, CA 93257 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)