Health inspection·December 5, 2023

F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure the responsible party (RP) for one of three sampled residents was informed of the risks and benefits before reducing Resident 1 ' s psychoactive medication (a drug that changes brain function and results in alterations in perception, mood, consciousness, or behavior). Residents Affected - Few This deficient practice violated the residents' right to make an informed decision regarding the use of psychoactive medications. Findings: During a review of Resident 1 ' s face sheet (admission record), the face sheet indicated that Resident 1 was originally admitted to the facility on [DATE] and readmitted on [DATE], with the diagnoses that include Parkinson ' s disease (progressive disorder that affects the nervous system and the parts of the body controlled by the nerves), major depressive disorder (mental disorder characterized by loose of interest in daily life) , anxiety (severe mental disorder characterized by extreme worry), dementia (problems with memory, thinking, and behavior) and unspecific psychosis (you perceive or interpret reality in a very different way from people around you). During a review of Resident 1 ' s History and Physical (H/P), dated 11/8/2023, the H/P indicated Resident 1 does not have the capacity to understand and make decisions. During a review of Resident 1 ' s Minimum Data Set (MDS), a standardized assessment and screening tool, dated 11/13/2023, the MDS indicated Resident 1 ' s cognitive (the ability to think, reason, and understood) skills for daily decision-making were severely impaired. During a review of Resident 1 ' s psychiatric evaluation note, dated 9/27/2023, the psychiatric note indicated the provider made an attempt to contact RP about discontinuing Seroquel (medication to ease the symptoms of [mental disorder characterized by extreme highs and lows]), was unsuccessful, and to have nursing staff follow up. During a review of Resident 1 ' s Physician Order dated 9/27/2023, the Physician Order indicated to discontinue Seroquel 12.5 milligrams (unit of measurement) to be given at night. During a review of Resident 1 ' s Nurses Notes, dated 9/27/2023, the nurses note indicated the order to discontinue Seroquel was noted and carried out. The nurses note did not indicate that Resident 1 ' s family member was notified of the change. Page 1 of 2 055123 055123 12/05/2023 Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810

F 0552 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During an interview of with Registered Nurse 1 (RN 1) on 11/28/2023 at 1:23 p.m., RN 1 stated any recommendations by a consultant physician must be in agreed upon by both the primary doctor and the resident or the responsible party. RN 1 stated that this was done so everyone involved with the resident ' s care was on the same page. During a concurrent interview and record review, with the Director of Nursing (DON) on 11/28/2023 at 1:53 p.m., Resident 1 nurse ' s notes dated 9/27/2023 was reviewed. The nurses note indicated Resident 1 ' s Seroquel was discontinued and Resident 1 ' s Power of Attorney (POA) was not notified. The DON stated that Resident 1 ' s POA should have been notified. The DON stated the nurse that was involved has already been coached. During a review of the facility ' s Policy and Procedure (P/P) titled Resident Rights and revised 9/2017, the P/P indicated residents and their representative have the right to receive all in information, in advance, of risks and benefits of proposed care, treatment, treatment alternatives, and choose the alternative of choice. 055123 Page 2 of 2