Health inspection·February 5, 2025

F 0565 Honor the resident's right to organize and participate in resident/family groups in the facility. 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 ensure staff discussed the decisions and the rationale regarding issues or concerns raised by the Resident Council (a group of residents who come together to discuss concerns, make suggestions, and advocate for improvements in their living environment). Residents Affected - Some This failure had the potential to feel that their voices were not heard which could result in dissatisfaction and a decline in quality of life. Findings: On January 22, 2025, at 5:25 p.m., during an interview with Resident 1, she stated the dining room/activity room closes at 7 p.m. and reopens at 9 a.m. Resident 1 further stated the access to the patio and vending machine is only available thru the dining room. On January 22, 2025, at 5:40 p.m., during an interview with Certified Nurse Assistant (CNA) 1, he stated the dining room closes at 6:15 p.m. and the key is held by the Registered Nurse Supervisor (RNS). On January 22, 2025, at 5:40 p.m., during an interview with the Dietary Service Supervisor (DSS), she stated the dining room is closed right after dinner time and the key is held by the Registered Nurse Supervisor (RNS). On January 22, 2025, at 6:55 p.m., during an interview with Resident 2, he stated the dining room closes at 7 p.m Resident 2 further stated that the activity room is the only place available to sit, relax, and socialize with other residents. On January 22, 2025, at 7:45 p.m., during an interview with Resident 3, he stated he wanted to go out to the patio to get fresh air. Resident 3 stated, he attempted multiple times since his admission but was unable to do so because the dining room was closed. On January 22, 2025, at 7:55 p.m., during an interview with Resident 4, she stated she wanted to buy soda at night but was unable to because the dining room was closed. On January 22, 2025, at 8:10 p.m., during an interview with the Registered Nurse Supervisor (RNS), she stated they were instructed to lock the dining room at 7 p.m. and she is the one who holds the key. On January 22, 2025, at 8:30 p.m., during an interview with the Assistant Director of nursing (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 3 Event ID: 056162 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 056162 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Extended Care Hospital of Riverside 8171 Magnolia Avenue Riverside, CA 92504 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)