Veterans Home Of California - Chula Vista
Inspection Findings
F-Tag F0620
F 0620 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident 1 back at the facility because they can administer the IV Zosyn. SRN 2 stated when the facility gets referrals for a new admission or readmission, the process was to review the referral to determine whether the facility could take that resident. During an interview on 11/19/2025 at 11:55 a.m., with the Director of Nursing (DON), the DON stated the facility was notified on 11/7/2025 that Resident 1 will be on IV Zosyn upon admission. The DON further stated SRN 1 called their contracted after-hours IV pharmacy and was informed that no one could process the IV antibiotic request.During a concurrent interview and
record review on 11/19/2025 at 1:25 p.m., with the Pharmacy Manager (PM), the facility's after-hours IV Pharmacy Contract, dated 12/30/2022 was reviewed. The PM stated the after-hours IV pharmacy was not frequently used and did not seem like they were open 24/7. During a follow up interview on 11/19/2025 at 2:47 p.m., with the DON, the DON stated Resident 1 previously lived at the facility and so Resident 1 was accepted to be readmitted to the facility on [DATE REDACTED]. The DON stated the facility did not ensure that they had
the antibiotic available to administer and the after-hours IV pharmacy was called, but the nurse was told no one was there to process the order. The DON stated the assumption was that the hospital would provide
the antibiotic when Resident 1 was transferred to the facility. The DON further stated the facility thought the after-hours IV pharmacy was open 24/7.During a follow up interview on 11/19/2025 at 3:33 p.m., with RNCM, RNCM stated on 11/7/2025, she did not check if the facility had IV Zosyn available because their in-house pharmacy was closed already.During a follow up interview on 11/19/2025 at 3:48 p.m., with PM,
the PM stated she was not made aware that Resident 1 would be on IV Zosyn.During a phone interview on 11/21/2025 at 6:10 p.m., with SRN 1, SRN 1 stated the last administration of IV Zosyn that Resident 1 received was on 11/8/2025 at around 8:30 a.m. SRN 1 stated the E-kit (also known as emergency kit, a supply of prescription medications), did not have the IV Zosyn.During a review of the facility's after-hours IV Pharmacy Contract, dated 12/30/2022, the contract indicated, Contractor will provide anti-infectives and drugs used to treat symptoms that are determined severe by the treating medical personnel, available (e.g. delivered) the same day of receipt of order if order is received before 12 pm and delivery is within one hundred (100) miles of contractor. Same-day delivery may be available beyond 100 miles upon mutual agreement between dispensing pharmacy and ordering Participating Entity. Emergency/expedited orders: upon mutual agreement of the participating entity and dispensing pharmacy, contractor will make weekend and holiday deliveries at no additional fees beyond the cost of the courier or other delivery services outside of normal delivery methods within the agreement.During a review of the facility's 2025 Skilled Nursing Facility Assessment, dated April 2025, the facility assessment indicated, Part 2: Services and Care We Offer Based on our Resident's Needs. Medications. Emergency medication orders are obtained from Talyst e-kit or manual e-kit. If medication is not available from the e-kit, it is obtained thru the Home's off-hours contracted pharmacy.During a review of the facility's policy and procedure (P&P) titled, Nursing Admission, dated June 2025, the P&P indicated, The facility will accept and retain only those residents for whom it can provide care .I. Pre-admission of New or Returning Residents: Information shall be obtained regarding a new or returning resident relative to their .status prior to transfer. Information can be obtained from the hospital or discharge coordinator or case manager.
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Veterans Home Of California - Chula Vista in CHULA VISTA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHULA VISTA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Veterans Home Of California - Chula Vista or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.