Escondido Post Acute
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to submit a five-day (5-day) summary of investigation to the California Department of Public Health (CDPH- state agency that protect the public's health and enforces state and federal laws) related to an abuse allegation for one of two residents reviewed for abuse. (Resident 6) This failure had the potential to result in a delay in determining the occurrence of abuse and had the potential to affect Resident 6's safety and well-being.Findings: On 12/30/24 at 8:53 A.M., an unannounced onsite visit at the facility was conducted related to a reported abuse allegation.
Resident 6 was re-admitted to the facility on [DATE REDACTED] with diagnoses including other sequelae (consequence of a previous disease or injury) of other cerebrovascular disease (a condition affecting blood flow and blood vessels in the brain) according to the facility's admission Record. An observation and interview was conducted with Resident 6 on 10/30/25 at 10:29 A.M. Resident 6 was in bed with a dark purple discoloration, size of a small tangerine on the left forearm. Resident 6's left forehand had a band aid on top of steri-strips (thin, adhesive skin closure strips used to hold the edges of minor cuts and lacerations).
Resident 6 raised both arms and stated he was attacked by a staff member which caused bruises on his left and right arms. An interview with the Director of Nursing (DON) was conducted on 12/30/25 at 11:04 A.M. The DON stated Resident 6's son reported that Resident 6 had bruises on the right forearm and skin tears on both hands and would like to know what happened. During an interview on 12/30/25 at 11:38 A.M. with Licensed Nurse (LN) 2, LN 2 stated he was not sure how Resident 6 sustained bruises and skin tears.
During an interview on 1/7/25 at 12:04 P.M. with the DON, the DON stated she initiated and completed abuse investigations for any alleged abuse incidents. The DON stated Resident 6 was at the hospital when
the abuse allegation was made and the resident returned to the facility on [DATE REDACTED]. The DON stated she completed an investigation but did not submit a 5-day summary of the investigation to CDPH. The DON stated she should have submitted one because it would show as a follow up on the investigation and the root cause of the incident. A review of the facility's policy and procedure (P&P) titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, dated April 2021 was conducted. The P&P indicated, All reports of resident abuse [including injuries of unknown origin] .are reported to local, state and federal agencies.Reporting Results of Investigations 1. The administrator, or his/her designee, provide
the appropriate agencies or individuals listed above with written report of the findings of the investigation within five (5) working days of the occurrence of the incident.
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
Event ID:
ESCONDIDO POST ACUTE in ESCONDIDO, 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 ESCONDIDO, 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 ESCONDIDO POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.