Temecula Healthcare Center
TEMECULA HEALTHCARE CENTER in TEMECULA, CA — inspection on December 31, 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
(DON).
The DON stated that Resident 2's physician orders indicated to change the colostomy bag as needed when 3/4 full.
The DON stated that usually they would cleanse the peristomal area with normal saline. On December 10, 2025, at 1:48 p.m., during an interview with the Treatment Nurse, the TN stated that Resident 2 had a colostomy bag and would require colostomy bag changes as needed.
The TN stated that the peristomal skin would be cleansed with gauze soaked with normal saline.
The TN stated that wound cleanser would not be used on the peristomal skin, as it would cause burning. On December 10, 2025, at 2:31 p.m., during an interview with LVN 1, LVN 1 confirmed that [NAME] Dermal Wound Cleanser was used on Resident 2's peristomal skin on December 5, 2025. A review of the listed ingredients indicated sorbitol was the second ingredient listed. A review of Resident 2's Summary Order Report dated November 13, 2025, indicated .Change colostomy bag PRN [as needed] if soiled or dislodgement.
Cleanse stoma area & dry gently.
Apply ointment as ordered.A review of Resident 2's Health Status Note dated December 5, 2025, at 10:25 p.m., indicated Patient noted with leaking colostomy appliance during PM shift.
Colostomy bag was changed twice at 20:00 and 21:50 due to leaking brown BM.
Stoma assessed during each change; stoma pink, moist, and intact.
Peristomal skin cleansed with warm water, dried thoroughly, and new appliance applied with proper seal. No redness or skin breakdown noted.A review of Resident 2's eINTERACT SBAR Summary for Providers dated December 6, 2025, at 12:54 p.m., indicated .Pt reported an alleged physical abuse against a staff member. Pt explained that it happened while charge nurse was changing his colostomy bag and cleaning his surgical site. Pt reported that a liquid was sprayed that felt like alcohol to his open wound. Pt stated that the pain caused by the spray was unbearable and he had to cover mouth from screaming.
Patient further stated the work had to be re-done during the next shift.A review of the Wound, Ostomy, and Continence Nurses Society guidelines titled Basic Ostomy Skin Care published July 2024, indicated .Cleaning the Skin Around the Ostomy.
Clean the skin around the ostomy with warm water and a washcloth or soft paper towel and pat dry. Do not use alcohol or any other harsh chemicals to clean the skin around the ostomy.
They can cause the skin to get sore.
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