Health inspection·April 2, 2025

F 0660 Plan the resident's discharge to meet the resident's goals and needs. 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 a post discharge follow-up was conducted and documented in the medical records for one of three residents reviewed (Resident 1). Residents Affected - Few This failure had the potential to compromise Resident 1's safety and well-being by not ensuring post-discharge needs were met. Findings: A review of Resident 1's medical record indicated he was admitted to the facility on [DATE], with diagnoses which included left tibia (leg bone) fracture and type 2 diabetes mellitus (abnormal high sugar). Resident 1 was discharged on January 22, 2025. A review of Resident 1's History and Physical, dated September 5, 2024, indicated he had capacity to understand and make decisions. A review of Resident 1's Order Summary, dated January 21, 2025, indicated, .LCD (last cover day) 1.21.25 (January 21, 2025) D.C. (discharge) 1/22/25 (January 22, 2025) at 11:00am, to address (provided) . A review of Resident 1's NOTICE OF PROPOSED TRANSFER/DISCHARGE, effective date of January 22, 2025, indicated .The transfer or discharge is appropriate because your health has improved sufficiently so that you no longer require services provided by the facility . A review of Resident 1's Progress Notes, dated January 22, 2025, at 12:33 p.m., indicated .pt (patient) discharged . A further review of Resident 1's progress notes indicated, there was no documentation showing that the Case Manager (CM) followed-up with the resident after his discharge. On March 5, 2025, at 10:25 a.m., a concurrent interview and record review were conducted with the Social Service Director (SSD). The SSD stated when a patient was discharged , she and/or the CM would call the resident at least 72 hours after discharge to check in and provide additional information as needed. The SSD stated, she maintained a binder containing her post-discharge follow up call logs, while the CM kept track of her own logs. The SSD stated, Resident 1's discharge had been coordinated by the CM, and was unsure whether the CM conducted a follow up call for Resident 1. On March 6, 2025, at 12:35 p.m., a concurrent interview and record review were conducted with the (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: 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 04/02/2025 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)