Health inspection·December 13, 2023

F 0700 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the proper use of bed rails for six of six sampled residents (Residents 1, 2, 3, 4, 5, and 6). * Resident 1 was observed with bilateral bed rails elevated, however, had a physician ' s order, assessment, and care plan problem for the right siderail use only. * Resident 2 was observed with bilateral bed rails elevated, with no physician ' s order, assessment, nor care plan problem in place. * Resident 3 was observed with upper and lower left ½ (half) bed rails elevated. Resident 3 did not have a physician ' s order, assessment, or care plan problem for the use of the bed rails. * Resident 4 was observed with bilateral ½ length bed rails elevated, with the right siderail padded. Resident 4 ' s physician ' s order was only for the left padded half bed rail. * Resident 5 was observed with left bed rail elevated with no physician ' s order, assessment, or care plan problem for bed rail use. * Resident 6 was observed with the left full bed rails elevated without a physician ' s order, assessment, or care plan problem in place for the use of bed rails. These failures put the residents at risk for entrapment and death. Findings: Review of the facility ' s P&P titled Proper Use of Siderails revised 12/16 showed the side rails are only permissible if they are used to treat a resident ' s medical symptoms or to assist with mobility and transfer of residents. An assessment will be made to determine the resident ' s symptoms, risk of entrapment, and reason for using siderails. The use of side rails as an assistive device will be addressed in the resident care plan. 1. On 12/7/23 at 0900 hours, an observation was made at Resident 5 ' s bedside. Resident 5 was observed in bed with the left side of the bed against the wall and ½ (half) bed rail elevated. On 12/7/23 at 1034 hours, an additional observation was made at Resident 5 ' s bedside. Resident 5 (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 3 Event ID: 055671 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 055671 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/13/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Healthcare Center 1514 E. Lincoln Avenue Anaheim, CA 92805 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)