Health inspection·November 7, 2023

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 protect one of one resident (Resident 1) from misappropriation of property (deliberate misplacement exploitation, or wrongful, temporary, or permanent use of a resident ' s belongings or money without the resident ' s consent) when Housekeeper 1 (HK 1) was running several personal errands procuring personal items, bringing the items to Resident 1, and cashing personal checks from Resident 1. Residents Affected - Few This deficient practice placed Resident 1 at risk for misappropriation of property. Findings: During a review of Resident 1 ' s admission Record, the admission record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including end stage renal disease (kidney [organ that filters wastes and extra fluid from the body] failure), hemiplegia (paralysis of one side of the body), type 2 diabetes mellitus (a problem in the way the body regulates and uses sugar as a fuel) and heart failure (heart cannot pump as it should). During a review of Resident 1 ' s Minimum Data Set (MDS), an assessment and care screening tool), dated 9/11/2023, the MDS indicated Resident 1's cognition (ability to think, understand, learn, and remember) was moderately impaired. During a review of Resident 1 ' s history and physical (H&P), dated, 7/14/2023, the H&P indicated Resident 1 recognized family, staff, and routines 75 to 90 percent of the time and needed occasional prompting. The H&P indicated Resident 1 was pleasant and slightly confused. During a review of Resident 1 ' s Report of Suspected Dependent Adult/ Elder Abuse (SOC 341), completed 11/1/2023, the SOC 341 indicated family member 1 (FM 1) alleged an employee was involved in questionable bank transactions with Resident 1. During a review of the facility ' s Investigation Summary for Resident 1 ' s abuse allegations, dated 11/6/2023, the summary indicated HK 1 confirmed that HK 1 made purchases for Resident 1. During an interview with the Social services director (SSD) on 11/20/2023 at 12:02 p.m. HK 1 should not have run any errands for Resident 1. SSD stated HK 1 should have notified the activity director in charge of running errands to pick up personal items. The SSD stated when we handle finances everything is logged, and we give them a receipt for transactions. During an interview with HK 1 on 11/20/2023 at 12:20 p.m., HK 1 stated Resident 1 was HK 1 ' s best Page 1 of 2 056164 056164 11/07/2023 Pacific Palms Healthcare 1020 Termino Avenue Long Beach, CA 90804

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few friend and Resident 1 always asked HK 1 for personal favors during working hours. HK 1 stated he ran errands, like buying water, soda, food, clothes, and shoes, for Resident 1 for over a year. HK 1 stated Resident 1 wrote him personal checks which HK 1 deposited to his personal bank account. HK 1 stated he would then purchase items and bring it to Resident 1. HK 1 stated Resident 1 told him (HK 1) to keep the change for gas or extra cost. HK 1 stated he was unaware that he should not have been running errands or receiving any money from the residents. HK 1 stated he was unaware that it was illegal, and he should have referred Resident 1 to the social worker, the director of Nursing (DON), or the administrator (ADM). During a phone interview with the ADM and record review of facility in service, dated 11/1/2023, titled Prohibiting staff from running errands for residents involving the handling of money, on 11/28/2023 at 3:45p.m., the in-service was reviewed. The in-service indicated staff was prohibited from running personal errands for residents involving the handling of money. The ADM stated the facility conducted in-services with all the staff as soon as the facility found out about HK 1 cashing checks issued by Resident 1 and running personal errands for Resident 1 because it was inappropriate. The ADM stated the facility social services was equipped to handle personal requests/ transactions needed by the residents, especially matters involving money. During a review of the faculty policy and procedure titled Abuse policy and Procedure, revised 2/2018, the policy indicated: a. Resident must not be subjected to abuse by anyone including facility staff, other residents, consultants or volunteers, staff of other agencies serving the resident, family members or legal guardians, friends, or other individuals. b. To ensure resident rights are protected by providing a method for the prevention of alleged resident abuse. 056164 Page 2 of 2