Health inspection·December 22, 2025

F 0732 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete clock-in area. The DON stated that both postings included only projected nursing hours and not the actual hours. During a follow up interview on 12/22/2025 at 12:15 p.m. with the DON, the DON stated that the facility does not post actual nursing hours worked by the licensed and unlicensed nursing staff daily. During a review of the facility's policy and procedure (P&P) titled, Posting Direct Care Daily Staffing Hours, reviewed 1/8/2025, the P&P indicated within two (2) hours of the beginning of each shift, the number of licensed nurses (RNs, LPNs, and LVNs) and the number of unlicensed nursing personnel (CNAs and NAs) directly responsible for resident care is posted in a prominent location (accessible to residents and visitors) and in a clear and readable format. Shift staffing information is recorded on a form for each shift. The information recorded on the form shall include the following information: a. The name of the facility; b. The current date (the date for which the information is posted); c. The resident census at the beginning of the shift for which the information is posted; d. Twenty-four (24)-hour shift schedule operated by the facility; e. The shift for which the information is posted; f. (RN, LPN, LVN, or CNA) and category (licensed or non-licensed) of nursing staff working during that shift who are paid by the facility; g. The actual time worked during that shift for each category and type of nursing staff; and h. Total number of licensed and non-licensed nursing staff working for the posted shift. Within two (2) hours of the beginning of each shift, the charge nurse or designee computes the number of direct care staff and completes the Nurse Staffing information form. The charge nurse completes the form and posts the staffing information in the location(s) designated by the administrator. Event ID: Facility ID: 056133 If continuation sheet Page 2 of 4 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 056133 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE West Hills Health and Rehabilitation Center 7940 Topanga Canyon Blvd. Canoga Park, CA 91304 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)

F 0949 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide behavior health training consistent with the requirements and as determined by a facility assessment. Based on interview and record review, the facility failed to implement the facility's policy titled In-service Training, All Staff, by failing to provide in-service training (training intended for those actively engaged in a profession or activity) on behavioral health to all staff, as scheduled on the facility's in-service calendar. This deficient practice had the potential to place residents who have a behavioral health diagnosis at risk for not receiving the necessary care and treatment. Findings: During a review of the facility's in-service training calendar for 2025, the in-service training schedule indicated the scheduled in-service trainings for month of 9/2025 included behavioral health training. During a concurrent interview and record review on 12/22/2025 at 9:13 a.m. with the Director of Staff Development (DSD), the facility's in-service training calendar and staff sign in sheets were reviewed. The DSD stated that she has been the DSD of the facility since 11/2025. The DSD stated the facility has scheduled in-services throughout the year for all licensed nurses and certified nursing assistants; all licensed nurses and certified nursing assistants are required to attend all in-service trainings including behavioral health training in-service. The DSD stated that she conducts in-service training for all three shifts throughout the week to ensure all staff (licensed and unlicensed nursing staff) have the opportunity to attend. The DSD reviewed the facility's sign-in sheet for the behavioral health in-service training dated 9/25/2025 and confirmed that not all staff attended the training. The DSD stated that only 36 staff attended the training. During a follow up interview on 12/22/2025 at 11:36 a.m. with the DSD, the DSD stated that the facility has a total of 142 nursing staff and attendance at the behavioral health training was mandatory for all staff. During an interview on 12/22/2025 at 12:40 p.m. with the Director of Nursing (DON), the DON stated that attendance at behavioral health training in-services is mandatory for all nursing staff. The DON stated that behavioral health training is important to ensure staff are prepared to appropriately respond to resident behaviors and are able to effectively de-escalate situations when necessary. During a review of the facility's policy and procedure (P&P) titled In-service Training, All Staff, with review date of 1/8/2025, the P&P indicated all staff are required to participate in regular in-service education. In service education participation is considered working time for which staff are paid their regular wages. Required training topics include the following: a. Effective communication with residents and family (direct care staff); f. Behavioral health. During a review of the facility's policy and procedure (P&P) titled Behavioral Health Services, with review date of 1/8/2025, the P&P indicated staff training regarding behavioral health services includes, but is not limited to: a. recognizing changes in behavior that indicate psychosocial distress; b. implementing care plan interventions that are relevant to the resident's diagnosis and appropriate to his or her needs' c. monitoring care plan interventions are reporting changes in condition; and d. protocols and guidelines related to the treatment of mental disorders, psychosocial adjustments difficulties, history of trauma and post-traumatic stress disorder. Behavioral health services are provided by staff who are qualified and competent in behavioral health and trauma-informed care. During a review of the facility's Facility Assessment with review date of 3/12/2025, the Facility Assessment indicated the purpose of the assessment is to determine what resources are necessary to care for the residents competently during both day-to-day operations (including nights and weekends) and emergencies. The facility's resident population, including but not limited to: The care required by the resident population using evidence-based, data driven methods that consider the types of disease, conditions, physical and behavioral health needs.The staff competencies and skills tests that are necessary to provide the level and types of care needed for the resident population. Information about residents: (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 056133 If continuation sheet Page 3 of 4 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 056133 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE West Hills Health and Rehabilitation Center 7940 Topanga Canyon Blvd. Canoga Park, CA 91304 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)

F 0949 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Disease/Conditions & Physical/Cognitive Disabilities for which we Provide Care: Psychiatric/Mood Disorders: Yes, Schizophrenia (a mental illness that is characterized by disturbances in thought), anxiety disorders (mental health conditions marked by excessive, persistent worry and fear that significantly interfere with daily life), bipolar (a mental health condition causing extreme mood swings, from manic highs [euphoria, high energy, irritability] to depressive lows [sadness, hopelessness, low energy], affecting sleep, energy, judgment, and thinking, often with stable periods in between). Resident Acuity Affecting Licensed Nurses: Behavioral/Mental Health: Yes. Information About Staff Patterns: Behavioral Health ServicesStaffing is adequate for caring for residents with dementia, mental health conditions, or history of trauma as evidenced by: Staff are trained to care for residents with dementia and other mental health issues. Event ID: Facility ID: 056133 If continuation sheet Page 4 of 4