Inspection·August 22, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Potential for minimal harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary care and services to ensure one of three sampled residents (Resident 1) attained or maintained their highest practical physical well-being. * The facility failed to ensure Resident 1 was turned and repositioned every two hours as ordered by the physician. This failure had the potential to negatively impact the resident's well-being.Findings: Review of the facility's P&P titled Physicians Orders, Telephone Orders, and Recapitulation Process revised 7/2025 showed all orders must be specific and complete with all necessary details to carry out the prescribed order without question. Review of the facility's P&P titled Activities of Daily Living revised 5/2023 showed the interventions will be provided by the staff in accordance with the professional standards of qualify and clinical practice. The nursing assistants will provide assistance with the ADL's based on the resident's individualized plan of care. Medical record review for Resident 1 was initiated on 8/8/25. Resident 1 was admitted to the facility on [DATE]. Resident 1 had a diagnosis of Parkinson's disease (a chronic, progressive disorder of the brain that primarily affects movement due to the loss of dopamine-producing cells, resulting in symptoms like tremors, slowness of movement, and poor balance), contracture of the right ankle, and abnormalities in gait and mobility. Review of Resident 1's Order Summary Report showed a physician's order dated 4/18/25, to reposition the resident two hours on the left side, and two hours on the right side every four hours while in bed, every shift for to help leg involuntary contraction. Review of Resident 1's MDS assessment dated [DATE], the section for GG Functional Abilities showed the following:- 1 (indicating the resident is dependent) for lying to sitting on side of bed, sit to stand, chair/bed to chair transfer, tub/shower transfer;- 2 (indicating the resident needed substantial/maximal assistance) for rolling left to right, and sit to lying; and On 8/15/25 at 0847 hours, an observation was conducted in Resident 1's room. Resident 1 was observed lying on his back, with the head of the bed elevated On 8/15/25 at 0859 hours, an interview was conducted with CNA 1. When asked if Resident 1 is able to turn himself in bed, CNA 1 stated no, I have to help him. When asked how often he helps him, CNA 1 stated as needed, when he tells us. On 8/15/25 at 1028, 1128, and 1500 hours, Resident 1 was observed lying on his back, with the head of the bed elevated. On 8/15/25 at 1508 hours, an interview was conducted with CNA 1. When asked if Resident 1 had been repositioned, CNA 1 stated Resident 1 was only pulled up on the bed. On 8/19/25 at 1132 hours, an interview was conducted with CNA 3. When asked if Resident 1 was repositioned, CNA 3 stated yes. CNA 3 stated he tells me to put the pillow under his arms so he doesn't lean too much to one side. When asked if CNA 3 only rotates the pillow under his arms from left to right, CNA 3 stated yeah. When asked if CNA 3 repositioned Resident 1's body to the left or right side, CNA 3 stated no he doesn't like it. On 8/20/25 at 1647 hours, an interview was conducted with the DON. The DON was made aware and acknowledged the above findings. The DON stated Resident 1 preferred to be on his back. The DON further stated Residents Affected - Some (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 5 Event ID: 056169 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 056169 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Alamitos West Health & Rehabilitation 3902 Katella Avenue Los Alamitos, CA 90720 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)