Health inspection·July 16, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure five of 15 sampled residents (Resident 1, 2, 4, 7, and Resident 15) had a safe, comfortable and home like environment when the facility air conditioning was not working adequately.This failure caused restlessness, irritability, increased anxiety (a feeling of fear, dread, and uneasiness), insomnia (loss of sleep) and the potential for negative clinical outcomes.Based on observation, interview, and record review, the facility failed to ensure five of 15 sampled residents (Resident 1, 2, 4, 7, and Resident 15) had a safe, cool, and home-like environment when the facility's air conditioning was not working effectively. This failure caused restlessness, irritability, increased anxiety (a feeling of fear, dread, and uneasiness), insomnia (loss of sleep) and the potential for negative clinical outcomes.Findings: A review of the facility's policy revised 8/2024, titled, Loss of Heating or Cooling, indicated it is the policy of this facility to take immediate actions when the facility's heating or cooling systems are inoperable in order to maintain temperatures within the facility at 71-81 degrees Fahrenheit ( F). The administrator is responsible for maintaining service contracts for routine and emergency maintenance of these systems. A review of the facility's policy revised 4/2025, titled, Safe and Homelike Environment, indicated In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. This includes ensuring that the resident can receive care and services safely. Comfortable and safe temperature levels means that the ambient temperature should be in a relatively narrow range that minimizes residents' susceptibility to loss of body heat and risk of hypothermia/ hyperthermia and is comfortable for the residents.A review of Resident 1's clinical record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included diabetes (too much sugar in the blood), Bi-Polar disorder (a mental condition causing extreme shifts in mood, energy, and activities impacting daily life), anxiety, major depressive disorder (clinical depression with constant feeling of sadness and loss of interest), urinary incontinence with urinary device (supra-pubic catheter, a surgical insertion of a tube directly into the bladder that drains urine), fibromyalgia (a long term condition that causes widespread pain and fatigue), epilepsy (seizure disorder, abnormal brain activity), dysphagia (difficulty swallowing), and insomnia. During an interview on 7/11/25 at 3:45 pm, Resident 1 stated, I am miserable even with this fan, I am hot. I keep complaining and no one listens. It is hard to sleep when it is this hot. During an observation at 7/11/25 at 3:47 pm, with the Director of Maintenance (DM) the temperatures in Resident 1's room area were 80.4 F, 79.7 F, and 82.7 F.A review of Resident 2's clinical record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included myocardial infarction (commonly known as heart attack), pulmonary embolism (PE, a blood clot or blockage in the lung artery), atrial fibrillation (fast and irregular heart beat), congestive heart Page 1 of 3 055489 055489 07/16/2025 Shasta View Care Center 1795 Walnut Street Red Bluff, CA 96080

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some failure (CHF, long term condition when the heart struggles to circulate blood effectively), Takotsubo Syndrome (broken heart syndrome, when the heart muscle becomes suddenly weakened following severe emotional or physical stress), hypothyroidism (underactive thyroid), adjustment disorder with anxiety and depressed mood (mental health condition that develops in response to a stressful life event or change with a group of symptoms including anxiety and sadness), and history of falling. During a concurrent observation and interview on 7/11/25 at 3:50 pm, Resident 2 was lying in bed, wearing a t-shirt, no pants, only a brief with no covers. Resident 2 stated, I am sorry to not be completely dressed, it is too hot to wear clothes. I am hot.During an observation at 7/11/25 at 3:51 pm, with DM the temperatures in Resident's 2's room area were 81.1 F and 79.7 F.A review of Resident 4's clinical record indicated Resident 4 was admitted to the facility on [DATE] with diagnoses that included diabetes, atrial fibrillation, CHF, cardiac pacemaker (a small electrical device surgically placed into the chest, used to control or increase the heart rate), Alzheimer's disease (most common cause of dementia, that slowly destroys memory and thinking skills, and eventually the ability to complete simple tasks), major depressive disorder and insomnia. During an interview on 7/11/25 at 3:52 pm, Resident 4 stated, We are all hot, it is hard to sleep, and my blood sugars have been running higher. I think it is the heat, because I am stressed about this. I have a fan beside me, but it is still too hot. During an observation at 7/11/25 at 3:53 pm, with DM the temperatures in Resident 4's room area were 81.5 F and 78.4 F.A review of Resident 7's clinical record indicated Resident 7 was admitted to the facility on [DATE] with diagnoses that included diabetes, CHF, cirrhosis of the liver (scarring of the liver which limits the function of the liver to filter toxins), dysphagia, ascites (fluid buildup in the abdomen), hyponatremia (low sodium levels in the blood), major depressive disorder, schizoaffective disorder (a mood disorder with a mixture of hallucinations or delusions and mood changes), insomnia, chronic kidney disease (long term condition when the kidneys are not filtering blood as needed), and glaucoma (pressure in the eyes that cause damage to the optic nerve and can lead to vision loss and blindness). During a current observation and interview on 7/11/25 at 4:05 pm, Resident 7 was lying in bed with no shirt, and no clothes on. Resident 7 stated, It is too hot to wear clothes, I would rather be anywhere but here. During an observation at 7/11/25 at 4:06 pm, with DM the temperatures in Resident 7's room area were 79.8 F and 80.4 F.A review of Resident 15's clinical record indicated Resident 15 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD, a progressive lung disease), morbid obesity (severe and dangerous level of being overweight), post-traumatic stress disorder (condition that can develop after experiencing or witnessing a deeply distressing and terrifying event), Bi-Polar disorder, nightmare disorder (frequent and recurring frightening dreams), prolonged grief disorder (persistent state of grief after losing someone close), hypothyroidism, anxiety, major depressive disorder, borderline personality disorder (intense emotions, impulsive behaviors, and rapid mood swings). During an interview on 7/11/25 at 5:02 pm, Resident 15 stated, Yes, I am hot. It is hard to sleep when it is this hot. I am burning up. During an observation at 7/11/25 at 5:06 pm, with DM the temperatures in Resident 15's room area were 77.0 F and 75.7 F.During an interview on 7/1125 at 5:15 pm, the DM confirmed the temperatures taken in all of the Residents rooms were accurate and he used 2 separate thermometers. DM confirmed that an air conditioning company would be on site in the facility first thing in the morning of 7/12/25 for repairs needed. During an interview on 7/11/25 at 5:20 pm, the Administrator (Admin) confirmed the company would be on site 7/12/25 and she knew the air conditioning was not cooling adequately. Admin stated, I have the repairs scheduled, tomorrow is as fast as they can come out, but they will be here both Saturday and Sunday and as long as it takes to complete the repairs 055489 Page 2 of 3 055489 07/16/2025 Shasta View Care Center 1795 Walnut Street Red Bluff, CA 96080

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some needed. I will make sure we send you all temperature logs per your request. I bought more fans and air conditioners to get us through the weekend. During an interview on 7/13/25 at 1:40 pm, the Maintenance Technician (MT) confirmed all the residents' rooms had been checked, all repairs made including new motors, new switches, and he had one motor left to install to finish the repairs that were needed. MT stated, I will be done by end of day, and I ordered a tool the DM will need to check the switches periodically. I will give you a copy of the map I used for your records. 055489 Page 3 of 3