Health inspection·October 11, 2024

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to follow Its policy and procedure to provide Activities of Daily Living Services (ADLS) and ensure call lights are answered in timely manner for 2 of 3 sampled residents. (Residents 1 and 3). Residents Affected - Few This failure had the potential to place two clinically compromised Residents (Resident 1 and 3) ' s health and safety at risk. When the residents ' activities of daily living were not met in timely manner. Findings: During a review of Resident 1 ' s admission Record (general demographics), the document indicated Resident 1 was last admitted to the facility on [DATE], with diagnoses that include, chronic respiratory failure (a condition when the lungs cannot get enough oxygen into the blood), morbid obesity (a condition with too much body fat and results in excessive weight), heart failure (a condition that develops when the heart does not pump enough blood for the body ' s needs), and muscle wasting and atrophy (a condition with loss or thinning of the muscle tissue). During concurrent observation and interview and on October 10, 2024, at 9:35 AM, with Resident 1, the Resident 1 stated, It takes a long time for staff to answer the call light when I need something. During a review of Resident 3 ' s admission Record, the document indicated Resident 3 was las admitted to the facility on [DATE], with diagnoses that include, respiratory failure, type 2 diabetes mellitus (a condition in which the blood sugar in the bod is high), epilepsy (a condition that cause sudden muscle jerks and muscle movements), and muscle wasting and atrophy. During concurrent observation and interview and on October 10, 2024, at 10:05 AM, with Resident 3, the Resident 3 stated, I have to wait a long time for someone to answer my call light. During an interview On October 10, 2024, at 10:43 AM, with the Administrator regarding answering call lights timely manner, the Administrator stated, Not answering call lights immediately is not acceptable. I expect all staff to answer call lights and attend to residents immediately. During a review of facility policy and procedure (P&P), titled, Answering the Call Light dated January 2023, indicated, Purpose. The purpose of this procedure is to respond to the resident ' s requests and needs . 2. Ensure the call light is within reach of the resident . 4. Answer the resident ' s call as soon as possible . Page 1 of 2 055619 055619 10/11/2024 Las Colinas Post Acute 800 East 5th Street Ontario, CA 91764

F 0676 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few During a review of facility P&P, titled, Quality of Care, dated February 2018, the P&P indicated, It is the policy of this facility that residents are given the appropriate treatment and services to maintain or improve his/her abilities . During a review of facility P&P, titled, Activities of Daily Living (ADLs), Supporting, dated March 2018, the P&P indicated, .1. Residents will be provided with care, treatment and services to ensure that their activities of daily living (ADLs) do not diminish unless the circumstances of their clinical conditions(s) demonstrate that diminishing ADLs are unavoidable . 2. Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care . During an interview On October 23, 2024, at 12:52 PM, with the Director of Nursing (DON), the DON stated, staff did not follow facility policy. The DON further stated, she expected the staff to answer residents call lights and attend to residents needs in a timely manner. 055619 Page 2 of 2