Health inspection·January 29, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to treat residents with respect and dignity when staff spoke with each other in a foreign language not understood or spoken by three of four sampled residents (Residents 1, 2, and 3). This failure made Residents 1, 2 and 3 feel uncomfortable and believed staff spoke about them in a language they did not understand and Resident 3 felt disrespected when staff spoke in a language she did not understand. Findings: During a concurrent observation and interview on 1/29/24 at 10:29 a.m. with Resident 1, in Resident 1 ' s room, Resident 1 was lying in bed. Resident 1 stated he heard staff speak a foreign language to each other in the facility. Resident 1 stated it made him feel like they were talking about him when they spoke in a foreign language. During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool used to identify resident cognitive and physical function) Assessment dated 10/5/23, indicated Resident 1's Brief Interview for Mental Status (BIMS -assessment of memory and judgment) assessment scored was 15 (a score of 13-15 indicates cognitively intact, 08-12 indicates moderately impaired, 00-07 indicates severe impairment). The BIMS assessment indicated Resident 1 was cognitively intact. During a concurrent observation and interview on 1/29/24 at 10:37 a.m. with Resident 2, in Resident 2 ' s room, Resident 2 was lying in bed. Resident 2 stated he heard staff speak a foreign language to each other in the facility. Resident 2 stated it made him feel paranoid thinking that staff were talking about him. Resident 2 stated staff should speak in English so he knows what they are talking about. During a review of Resident 2's MDS dated [DATE], indicated Resident 2's BIMS assessment score was 15. The BIMS assessment indicated Resident 2 was cognitively intact. During a concurrent observation and interview on 1/29/24 at 10:57 a.m. with Resident 3, in Resident 3 ' s room, Resident 3 was seated on her wheelchair. Resident 3 stated she heard staff speak a foreign language to each other at the nurses station all the time. Resident 3 stated it was rude and disrespectful when staff spoke in a language she did not speak or understand. Resident 3 stated she felt like staff were talking about her when they spoke in foreign language. (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: 055935 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 055935 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/29/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Ceres Postacute Care 1711 Richland Avenue Ceres, CA 95307 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)