Veterans Home Of California - Chula Vista
Veterans Home Of California - Chula Vista in CHULA VISTA, CA — inspection on November 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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].
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.
Facility ID: