Health inspection·April 25, 2024

F 0623 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to notify the Long Term Care Ombudsman office (LTC-Ombudsman, a resident advocacy agency) of transfer to the hospital for one of three sampled residents (Resident 1) when the facility failed to send a copy of Resident 1's transfer and discharge notification to the local LTC-Ombudsman office. This failure resulted in the LTC-Ombudsman not aware of Resident 1's discharge circumstances should appeals be filed by the resident or his representative. Findings: During a review of Resident 1's admission Record (AR, documents containing resident demographic information and medical diagnosis), undated, the AR indicated Resident 1 was admitted to the facility on [DATE] with diagnoses which included Metabolic Encephalopathy (a disorder caused by a buildup of toxins in the brain that can happen with advanced liver disease), Pneumonia (lung infection caused by bacteria), Type 2 Diabetes Mellitus (a disorder in which blood sugar or glucose levels are abnormally high), Hypertension (high blood pressure), Congestive Heart Failure (the heart cannot pump blood or fill adequately), and End Stage Renal Diseases (inability of the kidney to function resulting to build up of toxins in the body and affecting major body organs). During a review of Resident 1's Minimum Data Set (MDS, an assessment tool which indicates physical, medical and cognitive abilities), dated 3/7/24, the MDS indicated Resident 1's Brief Interview for Mental Status (BIMS) score was 14 out of 15 which indicated Resident 1 had no cognitive impairment (0-7 indicated severe cognitive impairment - [memory loss, poor decision making-skills], 8-12 moderate cognitive impairment, 13-15 cognitively intact). During a concurrent interview and record review on 4/25/24, at 11:30 a.m., with the Director of Nursing (DON), Resident 1's Nursing Progress Note (NPN), dated 3/31/24 was reviewed. The NPN indicated, . Situation: edema to abdomen and scrotum. Resident requesting to be sent to [hospital] . Orders to send to [acute hospital] for eval and treatment. Resident owns Responsible Party . DON stated Resident 1 did not return to the facility after he was transferred to acute hospital on 3/31/24. During an interview on 4/25/24, at 11:40 a.m., with the Social Services Director (SSD), the SSD stated he did not notify the State LTC Ombudsman office when Resident 1 was transferred to acute hospital on 3/31/24. SSD stated he was not aware of the requirements to notify the local LTC-Ombudsman office when a resident was transferred and admitted to the hospital. The SSD stated, I send a notice of discharge to the Ombudsman office via fax for residents who went home after discharge from the (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: 055410 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 055410 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/25/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brighton Post Acute 361 E. Grangeville Blvd Hanford, CA 93230 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)