Health inspection·February 4, 2026

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 observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure one of nine sampled residents (Resident 1) was free from abuse. * CNA 5 borrowed $500 from Resident 1, which caused Resident 1 to feel worried and emotional when the money was not returned on time. CNA 5 then asked Resident 1 to lie and say the money was payment for work CNA 5 had done for the resident. This failure negatively affected Resident 1's emotional wellbeing.Findings: Review of the facility's P&P titled Abuse, Neglect, Exploitation or Misappropriation Prevention Program revised 4/2021 showed the residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation Review of the facility's SOC 341 dated 12/29/25, showed Resident 1 loaned CNA 5 $500, and the money had not been fully returned. Medical record review for Resident 1 was initiated on 1/29/26. Resident 1 was admitted to the facility on [DATE] and readmitted to the facility on [DATE]. Review of Resident 1's H&P examination dated 7/14/25, showed Resident 1 had the capacity to understand and make medical decisions. The H&P further showed the resident 1 had diagnoses including generalized anxiety disorder. Review of Resident 1's SBAR Communication Form dated 12/29/25, showed there was a change in condition regarding the resident lending money to a staff member. Review of Resident 1's care plan dated 12/29/25, showed the resident was at risk for emotional distress and anxiety related to a recent incident when the resident voluntarily lent money to CNA 5 out of pity. Review of Resident 1's Progress Note dated 12/29/25, showed the ADON met with Resident 1 to discuss the matters of a CNA, who Resident 1 had stated borrowed $500 dollars. Further review of the Progress Note showed Resident 1 informed the ADON CNA 5 had expressed to Resident 1 she had financial struggles which caused Resident 1 to feel bad, so she loaned CNA 5 $500. Resident 1 further stated to the ADON CNA 5 paid Resident 1 $250 a week ago, but Resident 1 was worried because she had not received the rest of the money. Review of Resident 1's MDS assessment dated [DATE], showed the resident was cognitively intact. On 1/29/26 at 1315 hours, an interview was conducted with Resident 1. Resident 1 stated CNA 5 was one of the best CNAs she ever had. Resident 1 stated CNA 5 told her about the personal and financial hardships she was facing, and had offered CNA 5 $500 to help with the financial hardships. Resident 1 stated CNA 5 informed her she would pay her back in two weeks. Resident 1 stated CNA 5 paid her $250 a week later. Resident 1 stated CNA 5 then blocked her phone and stopped communicating. Resident 1 stated it was getting close to Christmas time and she was getting worried. Resident 1 stated she did not want to report it but one of the nurse supervisors overheard her talking about it on the phone with her sister. Resident 1 stated CNA 5 then contacted her and asked her to lie and say she had done work for her. Resident 1 stated it made her feel emotional. On 2/2/26 at 0949 hours, an interview was conducted with the SSA. The SSA stated Resident 1 informed them CNA 5 spoke to Resident 1 about CNA 5's struggles outside of work. The SSA stated Resident 1 felt sad about CNA 5's situation and did not want CNA 5 to get in trouble, but she just wanted the rest of the money back. Residents Affected - Few Page 1 of 3 056110 056110 02/04/2026 Laguna Hills Health and Rehabilitation Center 24452 Health Center Drive Laguna Hills, CA 92653

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On 2/2/26 at 1010 hours, an interview, medical record review and concurrent facility document review was conducted with the ADON. Review of the Employee handbook dated June 2024 showed under the section of giving and receiving gifts showed, staff cannot solicit or accept tips, gifts, loans, gratuities, bequests, or any item of value from any resident, family member, or visitor or any other person conducting business with the facility. Employees were also not allowed to purchase items or borrow money from residents. Any violation of the facility's gifts and gratuities policy could result in disciplinary action. The ADON stated every new employee receives a copy of the employee handbook upon hire. The ADON stated it was also included in the abuse training. On 2/4/26 at 1730 hours, an interview was conducted with the DON and the Administrator. The Administrator stated CNA 5 should not have taken the money from the resident. Cross Reference to 684 056110 Page 2 of 3 056110 02/04/2026 Laguna Hills Health and Rehabilitation Center 24452 Health Center Drive Laguna Hills, CA 92653

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and medical record review, the facility failed to conduct the status post change of condition assessments for one of nine sampled residents (Resident 1). * The facility failed to conduct any follow up nursing assessments on Resident 1 who had a change of condition involving an incident where a CNA borrowed money from Resident 1. This failure posed the risk for changes in Resident 1's psychosocial well-being not identified and potentially delayed the necessary care and treatment for the resident.Findings: Medical record review for Resident 1 was initiated on 1/29/26. Resident 1 was admitted to the facility on [DATE] and readmitted on [DATE]. Review of Resident 1's H&P examination dated 7/14/25, showed Resident 1 had the capacity to understand and make medical decisions. Resident 1 had diagnoses including generalized anxiety disorder. Review of Resident 1's MDS assessment dated [DATE], showed Resident 1 was cognitively intact. Review of Resident 1's SBAR Communication Form dated 12/29/25, showed there was a change in condition regarding Resident 1 lending money to a staff member. Review of Resident 1's Care Plan Report initiated on 12/29/25, showed a care plan problem to address Resident 1's risk for emotional distress/anxiety related to recent incident of voluntarily lending money to CNA out of pity. Review of Resident 1's Progress Notes dated 12/29/25, showed the ADON met with Resident 1 to discuss the matters of a CNA who Resident 1 had stated borrowed $500 dollars from her. Further review of the progress notes showed Resident 1 stated to the ADON CNA 5 had expressed to Resident 1 she had financial struggles which caused Resident 1 to feel bad, so Resident 1 loaned CNA 5 the money. Additional review of the progress notes showed Resident 1 stated CNA 5 had paid Resident 1 back the $250 a week ago; however, Resident 1 was worried because she had not received the rest of the money. On 2/2/26 at 1450 hours, a concurrent interview and medical record review was conducted with the ADON. The ADON stated following a change in condition, nurses are required to conduct nursing assessments related to the change in condition every shift for 72 hours. The ADON stated the purpose of the post event nursing assessments was to address any potential complications from the specific change in condition. Review of Resident 1's progress notes did not show any post event nursing assessments and monitoring related to the change of condition incident. The ADON verified the nursing assessments were not done. Cross Reference to F602. Residents Affected - Few 056110 Page 3 of 3