Health inspection·July 11, 2023

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 review, the facility failed to ensure one of three sampled residents (Resident 1) was protected from misappropriation of the resident's property. Residents Affected - Few This had the potential for fraud and exploitation against Resident 1 and other vulnerable residents. Findings: Review of Resident 1's clinical record indicated, she was an [AGE] year-old with a history including Parkinson's disease (a disease that include symptoms of slowness of movements, muscle rigidity, involuntary tremors/shaking and impaired balance and posture) and dementia (decline in mental capacity affecting daily function). Further review of Resident 1's clinical record indicated, her brief interview for mental status (BIMS, cognition level) of 11 which indicated moderate cognitive impairment and had a responsible party (RP, a person empowered to make decisions for the resident/ person legally responsible and liable for a decision or an action) in place. During an interview with the Social Services Director (SSD), on 7/11/23 at 11:55 a.m., the SSD indicated Resident 1 came to her .confused and upset regarding purchases made on her debit card and indicated Resident 1 stated it was around $400 over several months. The SSD indicated Resident 1 did not recall making or authorizing the purchases. During a record review, on 11/10/22, Resident 1's notes indicated an interdisciplinary team(a group of health care professionals from diverse fields who work toward a common goal for residents) meeting was held to discuss Resident 1's concern over bank transactions indicating online purchases of food and drink ordered and delivered to the facility. The note indicated the purchases were for coffee and food for staff, peers, and Resident 1. The note further indicated the Activities Director (AD) assisted the resident to complete the purchases. During a record review of the facility's undated investigation, the investigation indicated Resident 1 did not recall giving the AD authorization for any purchases with her debit card. The investigation notes further concluded the AD was suspended and given a disciplinary written reprimand on the violation of policy after the AD acknowledged accepting treats/gifts from Resident 1. During an interview with Resident 1, on 7/11/23 at 11:45 a.m., Resident 1 did not recall the incident or any incident involving her debit card being used to make purchases for herself, staff, and Page 1 of 2 055871 055871 07/11/2023 Windsor Skyline Care Center 348 Iris Drive Salinas, CA 93906

F 0602 peers. Level of Harm - Minimal harm or potential for actual harm During an interview with the Social Services Director (SSD), on 7/11/23 at 11:55 a.m., the SSD confirmed staff are not allowed to accept gifts or treats from residents and doing so is a violation of the facility's policy. Residents Affected - Few During an interview with the facility Administrator (ADM), on 7/11/23 at 12:09 p.m., the ADM stated the previous ADM investigated and addressed the complaint. The ADM stated the facility was unable to locate the employee corrective action at this time, but indicated the AD was given a written disciplinary action for accepting gifts/treats from a resident. The ADM confirmed accepting gifts from a resident is a violation of the facility's policy. The facility's policy Abuse Prohibition & Prevention, revised August 2022, indicated each resident has the right to be free from financial abuse. The facility's policy Code of Conduct, revised 5/4/22, indicated staff are not allowed to accept any gifts or items from any Resident and must comply with healthcare fraud and abuse laws. 055871 Page 2 of 2