Health inspection·April 17, 2023

F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Level of Harm - Actual harm Residents Affected - Few Based on interview and record review, the facility failed to honor Resident 1's rights when a Licensed Nurse cut Resident 1's hair without permission. This failure decreased the facility's potential to ensure residents' rights and respect residents' different cultures. Findings: A review of Resident 1's admission record indicated admission to the facility on 5/7/20 with diagnosis which included left-sided weakness as a result of a stoke, lupus (an autoimmune disease which can affect tissue and organs), and depression. A review of a Minimum Data Set (MDS, an assessment tool), dated 2/15/23, indicated Resident 1 had mild memory problems. A review of a progress note dated 3/2/23 at 8 p.m., indicated, .Resident [1] is disappointed that his hair was cut without his consent . In an interview on 3/17/23 at 9:45 a.m., Resident 1 confirmed a nurse cut his hair without asking his permission. Resident 1 stated he felt the LN was disrespectful because he was Native American and hair was an important, sacred, and significant representation of his culture. Resident 1 stated he kept his braid and still had it in his personal possessions. In an interview on 3/17/23 at 10:15 a.m., the Administrator verified the LN should not have cut Resident 1's hair without his consent as it was against the facility policy and procedure for resident rights. In an interview on 3/17/23 at 10:30 a.m., the Director of Nurses (DON) stated Resident 1's rights were not respected. In an interview on 3/21/23 at 3:49 p.m., Certified Nurse Assistant C (CNA C) stated she witnessed Resident 1 tell the LN, No when she stated she was going to cut his hair. The CNA C also stated, [Resident 1] reached up to feel his hair and [the LN] said [it was] too late .[Resident 1] was upset .He was about to cry .[The LN] showed no regret .She asked me to lie and tell him to say it was OK. He was embarrassed and ashamed. After it happened, he pulled his hoodie up so no one could see his hair. A review of the facility's policy and procedure titled Resident Rights, revised 1/1/12, indicated, .Resident's [sic] have freedom of choice .about how they wish to live their everyday lives and Page 1 of 2 055208 055208 04/17/2023 Seaview Rehabilitation & Wellness Center, LP 6400 Purdue Drive Eureka, CA 95503

F 0550 receive care .Employees are to treat all residents with kindness, respect, and dignity and honor the exercise of residents' rights . Level of Harm - Actual harm Residents Affected - Few 055208 Page 2 of 2