The nurse was direct about what had happened.
Nursing Home News — Page 30
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That is what inspectors found when they investigated a complaint at San Luis Post Acute Center, a nursing home in San Luis Obispo.
The resident also told inspectors they had not received catheter care in several days.
The violation was one of six deficiencies documented during a complaint inspection conducted on November 6.
The violation centered on how the facility was discharging residents.
The inspection, which flagged a violation under federal tag F0697, found that the facility's own pain management expectations were not being met in practice.
Inspectors cited the facility under federal standards governing incontinence care, noting minimal harm or potential for actual harm.
The November 2025 inspection of the facility at 4240 Lakeland Highlands Rd produced a citation under federal tag F0697, which covers pain management.
The citation, classified under F0689 with a harm level of minimal harm or potential for actual harm, affected a small number of residents.
The deficiency, cited November 14, 2025, fell under the category of resident assessment and care planning.
The citation covered an isolated instance, meaning inspectors did not find the problem widespread across the facility.
Federal health inspectors visited Aviata at Brentwood on November 5, 2025, following a complaint.