Health inspection·November 1, 2023

F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Let each resident or the resident's legal representative access or purchase copies of all the resident's records. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to provide a copy of medical records in a timely manner upon request for one resident (Resident 1). As a result, Resident 1 did not receive a copy of the medical records requested. Findings: Resident 1 was admitted to the facility on [DATE] with diagnoses which included acute left hip intertrochanteric fracture (a type of broken hip), according to the facility's Face Sheet. An interview was conducted on 10/23/23 at 2:40 P.M. with the facility's Manager. The Manager stated upon request of a resident for a copy of medical records, staff would inform the medical records. The Manager stated medical records did not keep a log of record requests and was not aware of any current record request for Resident 1. During an interview with the complainant on 10/24/23, at 12:45 P.M., the complainant stated an initial request for copies of Resident 1's records were sent on 9/25/23 to the facility's nursing staff. A second request was sent on 10/23/23, and copies of Resident 1's records have not been received (29 days total from the initial requested date). During a follow up interview on 10/24/23, at 1:58 P.M. with the Manager, the Manager stated the Health Information Management for the hospital was responsible for medical record requests. An interview was conducted on 10/24/23, at 2:51 P.M. with medical records (MR) staff at the Health Information Management office. The MR stated the facility would have to submit a request for medical records for them to process. The MR stated Resident 1 was in the system with a record request dated 10/11/23 and it will take 15 calendar days to process the request. During an interview with the complainant on 11/1/23, at 11:44 A.M., the complainant stated medical records have not been received from the facility as of 11/1/23 (37 days from initial request). The Manager was interviewed on 11/1/23, at 1:01 P.M. The manager stated it was important to provide residents a copy of their medical record upon request because residents have the right to know their medical status. Page 1 of 2 055074 055074 11/01/2023 Villa Coronado D/P Snf 233 Prospect Place Coronado, CA 92118

F 0573 Level of Harm - Minimal harm or potential for actual harm The facility's policy and procedure (P&P) titled, Medical Records Confidentiality-Release of Information, 12009.99, dated 5/18/21, was reviewed. The P&P indicated, .All Sharp Healthcare (SHC ) entities including its affiliated entities recognizes that every patient has the right to view and /or obtain a copy of his or her medical record information . Residents Affected - Few 055074 Page 2 of 2