Health inspection·July 21, 2025

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. 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, for one of three resident (Resident 1) was free from misappropriation of property when the Social Service Designee (SSD) used Resident 1's bank card to purchase items for her personal use, without consent from Resident 1. This failure had the potential to affect Resident 1's psychosocial wellbeing. Findings:On June 19, 2025, at 1:45 p.m., an unannounced visit was conducted at the facility to conduct two complaints and one Facility Reported Incident regarding allegation of abuse.On June 19, 2025, at 2 p.m., during an interview with the Director of Nursing (DON) and the ADM (Administrator), the DON stated the following information gathered through their investigation:-A Certified Nursing Assistant (CNA) notified him that Resident 1 had a concern regarding his Social Security Income (SSI);-Resident 1 reported he checked his bank account and noticed that there was not much money as he expected to be in there;-Resident 1 informed the SSD about the charges indicated in the bank statements were not authorized by the resident;-The SSD admitted to Resident 1 that she purchased those items through the resident's account and she owed the resident about $2300 and the SSD made a deal with Resident 1 about how to pay the amount she owed; and-Resident 1 indicated the SSD had paid him about $900 and would pay the balance by June 25, 2025.The ADM and the DON stated they were not aware for about two weeks from the time the SSD identified the problem until Resident 1 reported it to the CNA. The DON stated the SSD should have set up individual account for the resident if the resident wanted to order online and not through the staff account. On June 19, 2025, at 4:20 p.m., during an interview with Resident 1, Resident 1 stated he had an account with direct express and saw the balance was too low, about $1000 short. Resident 1 stated he requested bank statements from January 2025 to May 2025, and he opened them in front of the SSD, and the SSD confirmed with Resident 1 that she made the purchases/charges, apologized to the resident, and agreed to pay the resident. Resident 1 stated he asked the SSD why she did it and the SSD responded to him I need it.On June 19, 2025, Resident 1's record was reviewed. Resident 1 was admitted to the facility on [DATE], with diagnoses which included hemiplegia (weakness) and depression (mood disorder). A review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated March 9, 2025, indicated Resident 1 had a BIMS (Brief Interview of Mental Status) score of 13 (cognitively intact).A review of Resident 1's Progress Notes, dated June 13, 2025, at 4:04 p.m., indicated, .Informed (name of physician) that resident verbalized that one of the staff conducted unauthorized transaction of his debit card. MD (medical doctor) ordered to monitor resident for emotional distress and do psychiatrist/psychological consult .A review of Resident 1's IDT (Interdisciplinary Team - a group of healthcare professionals), dated June 16, 2025, indicated, .IDT met with the resident in the conference room in regards to the allegedly unauthorized transaction on his debit card of one of the facility staff, resident verbalized to one of the staff on 6/13/25 (June 13, 2025) that he notice deduction on his debit card and he confronted the allegedly staff member about it. Initial investigation was conducted on Residents Affected - Few (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: 055255 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 055255 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Corona Health Care Center 1400 Circle City Drive Corona, CA 92879 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)