Health inspection·February 21, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to promote one of three sampled residents (Resident 1) right to privacy when the licensed social worker (SW) discussed Resident 1 ' s personal care with Resident 1 ' s family without Resident 1 ' s consent. Residents Affected - Few This failure resulted in Resident 1 feeling emotional distress. Findings: During a review of Resident 1 ' s facility admission Record on 2/7/2024 at 11:15 a.m., the admission Record indicated Resident 1 was admitted in July 2022 with a diagnosis of muscle weakness. The admission Record indicated Resident 1 was his own responsible party. A review of Resident 1 ' s Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan.) indicated Resident 1 was alert and oriented to the day, year, month and could recall words presented to him. During an interview on 2/7/2024 at 10:35 a.m., with the facility ' s Director of Nursing (DON), the DON stated the facility had wanted to deep clean Resident 1 ' s room, but Resident 1 often stayed in bed and did not like the smell of the cleaning agents, which made deep cleaning Resident 1 ' s room difficult. The DON stated the suggestion of involving family members to encourage Resident 1 to get out of bed more and participate in his own care had been discussed with the Social Worker (SW). The DON stated after that discussion with the SW, Resident 1 had complained the facility social worker had spoken to one of Resident 1 ' s family members, FM 1, about encouraging Resident 1 to get out of bed more. The DON stated had told Resident 1 the facility would talk to family members in order to encourage residents. The DON stated Resident 1 had told the DON that Resident 1 did not like that, and it was no one else ' s business. During an observation and concurrent interview on 2/7/2024 at 10:50 a.m., with Resident 1, in Resident 1 ' s room, Resident 1 lay in bed, under the bedcovers. Resident 1 stated he stayed in bed because it was a hassle to get up and into the wheelchair. Resident 1 stated the facility social worker had talked to Resident 1 ' s family without his OK and it bothered him a lot. The social worker was not available for interview during the abbreviated survey. During an interview on 2/21/2024 at 10:07 a.m., with FM 1, FM 1 stated Resident 1 wanted to keep FM 1 out of his business. FM 1 stated the social worker told FM 1 Resident 1 had refused showers for the last year and had only had bed baths. FM 1 stated Resident 1 was upset staff had shared the information with FM 1. Page 1 of 2 055241 055241 02/21/2024 Willow Pass Healthcare Center 3318 Willow Pass Road Concord, CA 94519

F 0583 Level of Harm - Minimal harm or potential for actual harm During a record review of the facility policy and procedure (PNP) titled, Resident Rights, dated 9/1/2008, the PNP indicated, The Resident has the right to personal privacy and confidentiality of his or her personal and clinical records. Personal privacy includes accommodations, medical treatment, written and telephone communications, personal care, visits and meetings of family and Resident groups . Residents Affected - Few 055241 Page 2 of 2