F559 citations in California

Based on observation, interview and record review, the facility failed to ensure residents' right to receive written notice, including the reason for the change, before the resident's room or roommate was changed, was not supported for 16 of 26 sampled residents (Resident 1,2,3,4,5,7,8,9,11,12,13,14,15,16,18,22) when Resident 1, Resident 2, Resident 3, Resident, 4, Resident 5, Resident 7, Resident 8, Resident 9, Resident 11, Resident 12, Resident 13, Resident 14, Resident 15, Resident 16, Resident 18 and Resident 22 were moved from their assigned room to another room in the facility without first receiving written notice. …

Keystone Post-Acute

Based on interview and record review, the facility failed to implement their policy and procedure on room change for one of three sampled residents (Resident 1). This failure resulted in Resident 1's responsible party (RP - is the person designated by the resident often a family member or legal representative who agrees to certain obligations related to the resident's care and payment) to not be aware of Resident 1 being moved.Findings:During a review of Resident 1's admission RECORD (AR), dated 8/5/26, the AR indicated, Resident 1 was admitted to the facility on [DATE] with a diagnosis of encephalopathy (a condition where your brain isn't working properly, causing confusion, memory problems, or changes in behavior), altered mental status (a noticeable change in how a person thinks, acts,… …

San Joaquin Nursing Center and Rehabilitation Cent

Based on interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure the written notification of room changes were provided to the resident and RP for two of two sampled residents (Residents 7 and 8). This failure had the potential for violating the residents' rights. Findings: Review of the facility's P&P titled Room or Roommate Change revised 3/2018 showed prior to changing a room or roommate assignment, the resident, the resident's representative (if available), and the resident's new roommate will be provided timely advance notice of such a change. A. The notice of a change in room or roommate assignment must be given in writing, and will include the reason(s) for such change. B. …

Orange Healthcare & Wellness Centre, LLC