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. (continued on next page) 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 Page 1 of 2 Event ID: 055074 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 055074 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/01/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Villa Coronado D/P Snf 233 Prospect Place Coronado, CA 92118 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)