Health inspection·July 16, 2025

F 0583 Keep residents' personal and medical records private and confidential. 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 the confidentiality of residents' personal and medical information was protected when binders containing sensitive resident data was left unsecured at the nursing station, resulting in the unauthorized removal of the binders by unauthorized personnel.As a result, all residents at the facility were at risk for unauthorized access to their personal and medical information, in violation of their right to privacy and confidentiality. Findings: A review of the facility census on 6/25/25 indicated the total in house occupancy was 42 residents. Resident 1 was admitted to the facility on [DATE] with a diagnosis of cardiac arrest per the admission record. The record identified a resident family member as the resident representative (RR). The record indicated Resident 1 left the faciity on 6/16/25 against medical advice. During an observation and record review on 6/25/25 at 10:35 A.M., the facility nursing station was unattended, with no staff present near or at the desk. Multiple binders were observed sitting unsecured on an open cart located behind the nursing desk, against the wall. The nursing desk was unobstructed on either side and the binders were accessible within a few steps. The binders were clearly labeled, and included binders titled, Vital Signs, Treatment Audit, Controlled Drug Record, and Monthly Appointments. A review of the records inside the Monthly Appointment binder indicated the binder contained resident face sheets with identifying information such as name, date of birth , insurance identification number, diagnosis and social security number, along with other personal information. The nursing station remained unattended for five minutes. During an interview on 6/25/25 at 11:01 A.M., certified nursing assistant (CNA) 1 stated she was working on 6/15/25 when she witnessed a woman at the nursing station flipping through a binder on the top of the nursing desk. CNA 1 identified the woman as resident 1's resident representative (RR). CNA 1 stated RR said the phrase this is illegal, each time she flipped a page in the binder. CNA 1 stated after a few seconds RR walked away from the nursing desk with two binders and out of the facility. CNA 1 stated she heard licensed nurse (LN) 1 call out for RR to return to the nursing desk with the binders but RR did not comply. CNA 1 stated she did not know what was in the two binders. During an observation and interview on 6/25/25 at 11:17 A.M., LN 1 stated on 6/15/25 he witnessed Resident 1's RR remove two facility binders containing resident information from the top counter of the nursing station and leave the facility. LN 1 pointed to the area of the nursing countertop where the binders had been located and stated that they should have been stored behind the nursing station but had been left out for the phlebotomist (contracted staff who drew blood samples for testing). LN 1 reported that he attempted to stop RR and asked her to return the binders, but she refused. LN1 stated the binders contained resident face sheets, physician orders and requisitions for laboratory and radiology services for multiple residents. During an interview and record review with the Director of Nursing (DON) on 5/25/25 at 11:42 A.M., video footage of the incident on 6/15/25 showed a woman walked down the hallway towards the nursing station, stopped at the nursing desk and flipped through one of Residents Affected - Some (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: 555871 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 555871 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Somerset Subacute and Care 151 Claydelle Ave El Cajon, CA 92020 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)