Health inspection·July 9, 2025

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 record review, the facility failed to implement its policy and procedures titled Release of Resident's Personal Belongings , to prevent misappropriation (unauthorized or improper use of someone else property) of resident's property and ensure accurate accounting and safe keeping of resident's personal belonging for one of three sampled residents (Resident 1). This deficient practice had resulted in the violation of residents rights for Resident 1 and a potential for other residents in the facility to loose their personal items. CMS 2567 amended [DATE]Findings: During a review of Resident 1's admission Records (AR), the AR indicated Resident 1 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included hypertension (high blood pressure), Type 2 Diabetes (high blood sugar), and dementia (decline in mental ability which can interfere with daily activities). During a review of Resident 1's History and Physical (H&P, a comprehensive physician's note regarding the assessment of the resident's health status), dated [DATE], the H&P indicated Resident 1 did not have the capacity to understand and make decisions. During a review of Resident 1's Minimum Data Set (MDS, a federally mandated resident assessment tool), dated [DATE], the MDS indicated the resident was moderately impaired in cognition (problems with a person's ability to think, learn, remember, use judgement, and make decisions). During a review of Resident 1's, Health Status Note signed by Register Nurse (RN)1 dated [DATE] timed at 2:25 PM indicated Resident transferred via 911 picked up 2:20 P.M. due to desaturation (low oxygen blood level) and respiratory distress. Resident 1 left the facility conscious, skin intact. Notified RP (Responsible Party) 1. A review of Resident 1's, Plan of Care Note signed by Social Service Assistant (SSA)1 dated [DATE] timed at 4:32 PM indicated, SSA 1 spoke with RP1 regarding Resident 1 belonging. RP 1 wants SSA 1 to send Resident1's belonging to him. During a review of Parcel Shipping Order provided by DOM, dated [DATE] indicated Director of Marketing (DM) 1 shipped Resident 1's clothing, phone, tablet, prepacked items, and battery inside devices without the hearing aide to Resident's 1 RP1. During an interview on [DATE] at 11:02 A.M. with Registered Nurse (RN) 1, RN 1 stated she assisted with the transfer of Resident 1 to the hospital on [DATE] due to resident's low oxygen blood level. RN 1 stated she did not update the Inventory Check list of Resident 1 when the resident transferred to the hospital. RN1 stated based on the facility's policy the Inventory Check list should be updated/ completed upon transfer of the residents. During an interview on [DATE] at 12:12 P.M., with SSA 2, SSA 2 stated the Inventory Checklist should be completed upon admission, updated and completed upon discharge or transfer of the residents to the hospital to prevent misappropriation of resident's property. SSA2 stated Resident 1 Inventory Checklist was not updated completed upon discharge of the resident which resulted in the facility's failure to keep track of the resident's personal item missing. During an interview on [DATE] at 12:20 P.M., with CNA 1 stated she was assigned to Resident 1 on [DATE] and was at facility when Resident 1 transferred to the hospital. CNA 1 stated upon transferring Resident 1 to the hospital she did not complete the inventory Residents Affected - Few Page 1 of 2 056111 056111 07/09/2025 Griffith Park Healthcare Center 201 Allen Ave. Glendale, CA 91201

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few list since she was not aware of the policy and believed it was the licensed nurses' responsibility to complete the inventory. During an interview and record review of 4 pictures of the belongings of Resident 1, provided by facility, on [DATE] at 12:30 P.M., with Director of Marketing (DOM), DOM stated in the beginning month of July she received a call from RP 1 requesting Resident 1's belongings. DM stated RP1 emailed him 4 pictures that were sent to him by SSA1 which included:During a review of 4 pictures of the belonging of Resident 1, provided by Director of Marketing (DOM),Picture 1 was a picture of one closed carbon box with Resident 1 name handwritten on it Picture 2 was a picture of a closed black suitcase.Picture 3 was a picture of an opened box with shoes towel and comforter.Picture 4 was a picture of an opened suitcase with clothes, tablet, wallet, phone, reading glasses, photo of dog and phone charger. During concurrent interview on [DATE] at 12:36 P.M., with DOM, DOM stated she looked for Resident 1's belonging and was able to find a box which included Resident 1 clothing, phone, tablet, prepacked items, and battery inside devices but she was not able to find the hearing aids. DM 1 stated she shipped the clothing, phone, tablet, prepacked, and batteries to RP 1 on [DATE], however the facility was not able to find the black suitcase. DM 1 stated she was not sure if the items that were sent to RP 1 was all the belongings of Resident 1 . During an interview on [DATE], and timed at 1:13 P.M., with Director of Nursing (DON), the DON stated the purpose of completing the inventory list was to prevent misappropriation of property and to prevent loss of Resident1's belonging. The DON stated based on facility policy inventory list should be completed upon admission, when resident bring new items, and when residents are transferred to hospital. During an interview and record review of Resident 1's Inventory List signed by Register Nurse (RN)1 dated [DATE], with the DON on [DATE] at 1: 20 P.M., DON stated the inventory list indicated Resident 1 was admitted to the facility with the following items: one hospital gown and hearing aids left and right ears. During the same interview the DON stated the section that staff should have been filled up in the Inventory Check list when Resident 1 was transferred to the hospital was blank. DON stated Resident 1's inventory list was not completed/updated upon transfer to hospital which can result in misappropriation of Resident 1's property. During an interview on [DATE], and timed at 1:26 P.M., with RP 1, RP 1stated RN1 contacted him that Resident 1 was transferred to hospital on [DATE] and Resident 1 expired on [DATE]. RP1 stated he requested SSA 1 on [DATE] to send him Resident 1 ‘s belonging. RP 1 stated SSA 1 promised to send Resident 1's belonging to him, however, he did not receive the belonging up to today [DATE]. RP 1 stated SSA sent him 4 picture of Resident 1's belonging on [DATE] which included: Picture 1 was a picture of one closed carbon box with Resident 1 name handwritten on it Picture 2 was a picture of a closed black suitcase.Picture 3 was a picture of an opened box with shoes towel and comforter.Picture 4 was a picture of an opened suitcase with clothes, tablet, wallet, phone, reading glasses, photo of dog and phone charger. During an interview and record review of Resident 1 documents on [DATE] at 2:20 P.M., with Administrator (ADM), the ADM stated he is unable to provide any document that inventory checklist completed or updated when Resident 1 was transferred to hospital on [DATE]. A review of the facility's policy and procedures titled, Release of Resident's Personal Belongings ', revised [DATE], indicated, Our facility protects the personal belongings of a resident who has been transferred or discharged from our facility. The personal belongings of a resident who is temporarily transferred or discharged from the facility will be inventoried and stored by the facility until the resident has returned or such items have been picked up by the resident's representative. 056111 Page 2 of 2