Inspection·August 7, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few just shrugged his shoulders and left the room. On 7/31/2025 the FM noticed Resident 1's legs were swollen and reported it to the nurse. The FM requested an X-ray be done. The FM was notified the next day the Xray was completed and showed the right ankle was fractured. During an interview on 8/6/2025 at 10:50 a.m. with the CNA, the CNA stated on 7/16/2025 he assisted transferring Resident 1 to the bed using a 2-person assist. The CNA stated he and the assigned nurse placed an arm under Resident 1's armpit and held her waistline, then transferred her to bed. Resident 1 did not have complaints after being placed in bed. The CNA stated he received training on how to transfer residents during his CNA course. If you don't use the right technique to transfer a resident they can be injured. The CNA received training on use of the hoyer lift at the facility. During an interview on 8/6/2025 at 1:43 p.m. with the Registered Nurse (RN), the RN stated on 8/1/2025 X-ray results were received and indicated Resident 1 had a right ankle fracture. Resident 1 was assessed and there was no swelling, redness, or bruising noted on the ankle. Resident 1 complained of soreness when the right ankle was touched. The RN notified the FM Resident 1 had an ankle fracture and we don't know how it happened. The RN stated, This was a new injury and how it happened was unknown. The RN had not previously heard anything about the Resident having a fracture. The FM then told the RN staff were placing Resident 1 back to bed on 7/16/2025 and the FM heard Resident 1 scream. Resident 1 stated my leg is hurting. The RN stated this is a red flag because Resident 1 was complaining of pain and no one knew what happened. The RN stated the FM informed her Resident 1 has complained of pain since that day. The RN stated the signs of abuse are bruising, fractures, and swelling. Resident 1 has a fracture. The fracture is unknown, so it looks like it can possibly be abuse. The RN reported the fracture and information received from the FM to the Director of Nursing (DON). The DON just said okay, and she would continue the process. It was important to notify the DON because the DON needed to notify the Administrator (ADM). The ADM needs to report the incident to police, the state department, and the ombudsman. You must report it immediately to the state department so they will know there is abuse in the facility. You must report to ensure the resident is safe. The RN did not report the incident to state agencies because the DON did not inform her to. The DON and ADM usually report incidents to agencies.During an interview on 8/7/2025 at 10:57 a.m. with the DON, the DON stated she received the X-ray results on 7/31/2025. The doctor requested a repeat X-ray to confirm the findings. The DON started an investigation and completed and incident report because the incident was classified as an unusual occurrence. The DON refused to state when the investigation was started. The DON stated the FM told her someone hit Resident 1's foot on something. The DON stated the resident was injured in the facility. The DON stated the CNA used a 2-person transfer to assist Resident 1 back to bed. DON stated she cannot say with 100% certainty the resident's foot was hit on something. The DON stated the incident is not an injury of unknown origin, It's an unusual occurrence. Resident 1 said staff bumped her foot. Staff denied bumping Resident 1's foot. The DON stated she did not report the incident because they know how it happened. The DON trusts what Resident 1 told her. Injuries of unknown origin must be reported to the California Department of Public Health (CDPH) so someone can investigate to find out what happened. You should report within 24 hours. It takes a bit of force to cause a fracture. The fracture could have happened here or while she was out. Staff would know if Resident 1's foot got caught on something. The DON stated she trusts what Resident 1 told her because the resident is alert and oriented. During an interview on 8/7/2025 at 11:55 a.m. with Resident 1, Resident 1 stated on the date of incident staff called a tall man (confirmed by staff as the CNA) to help transfer her to bed. Resident 1 was in her wheelchair. The guy grabbed Resident 1's feet and a lady grabbed her shoulders. Resident 1 stated when the CNA grabbed her feet during the transfer she screamed. When (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 056267 If continuation sheet Page 2 of 7 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 056267 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Camino Healthcare 13922 Cerise Avenue Hawthorne, CA 90250 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 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Resident 1 screamed the FM entered the room and asked why she was crying. Resident 1 stated He hurt my foot. Resident 1 stated staff have not transferred her like that before. Resident 1 doesn't know what came in contact with her foot. Resident 1 stated staff sometimes use a hoyer to transfer her. Resident 1 had pain all night after the incident. When Resident 1 found out her ankle was fractured, she cried. During an interview on 8/7/2025 at 1:40 p.m. with the Director of Staff Development (DSD), the DSD stated the proper technique for a 2-person transfer from wheelchair to bed is to have a staff member on both sides under the resident's arm so the weight is evenly distributed, then stand and pivot in one or two steps to move the resident to the bed. Staff should not transfer someone by grabbing their feet and another person at their shoulders because you can't properly transfer the resident to bed. If you use the wrong transfer technique the resident can be injured or dropped. The staff receives information on how a resident needs to be transferred from the rehab department. The DSD stated the Resident 1 can be transferred using a 2-person assist or using a hoyer. Resident 1 is able to provide accurate information and was very precise on the description of the CNA. DSD stated Resident 1 and staff are telling different stories, so she can't confirm what happened. The DSD can't say 100% but thinks something was bumped during the transfer. The DSD stated it's not common for a resident to be injured during transfer or while receiving care. It shouldn't happen. You shouldn't be bumped. Something had to have happened. Resident 1 is bedbound and doesn't stand. Resident 1 doesn't walk, so it is not typical to get an ankle fracture if you don't walk. The DSD thinks the source of the injury was something that occurred during transfer. It's not okay for a resident to be injured by staff during care. The DSD didn't report the incident when she heard about it because the resident's story made sense. You should report if the reason for the injury is unknown. The DSD stated due to this incident occurring the facility plans to have the rehab department provide training on proper transfer techniques. During an interview on 8/7/2025 with the ADM, the ADM stated staff reported to him Resident 1's leg was bumped during transfer. The ADM stated he didn't feel he needed to report the incident because the resident told them what happened. Stated he can't say with complete certainty the injury occurred in the stated manner. Further stated, if it's unknown how an injury occurred, it should be reported to CDPH, ombudsman, and police, the same as abuse, within 2 hours.During a review of the facility's policy and procedure (P&P), titled Abuse: Prevention of and Prohibition Against, dated April 2025, the P&P indicated allegations of abuse/neglect will be reported to the appropriate State or Federal agencies in the applicable timeframes.During a review of the facility's P&P, titled Unusual Occurrence, dated January 2021, the P&P indicated unusual occurrences shall be reported within 24 hours to the local health officer and the department. The P&P further defined unusual occurrences as those that threaten the welfare, safety, or health of patients.During a review of the facility's P&P, titled Resident Rights: Elder Justice Act Reporting, dated October 2011, the P&P indicated reasonable suspicion of crimes against individuals receiving care from a skilled nursing facility must be reported as required by the Elder Justice Act. The incident must be reported to local law enforcement and the State Survey Agency within two hours if the alleged victim sustained serious bodily injury, or within 24 hours if the victim did not sustain serious bodily injury. Event ID: Facility ID: 056267 If continuation sheet Page 3 of 7 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 056267 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Camino Healthcare 13922 Cerise Avenue Hawthorne, CA 90250 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 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide a safe and accident-free environment for one of three sampled residents (Resident 1), who had impaired functional mobility (a reduction in a person's ability to move independently and perform daily activities) by failing to: -Ensure Certified Nursing Assistants (CNAs) 1 and 2 transferred Resident 1 from the wheelchair to Resident 1's bed by using appropriate assistive device (any item, piece of equipment that are designed to help individuals with disabilities increase, maintain, or improve their functional capabilities) such as the Hoyer lift (a mechanical device used to safely transfer patients who have limited mobility from one surface to another, such as from a bed to a chair or wheelchair) as indicated in Resident 1's untitled care plan dated 2/1/2025. This deficient practice resulted in Resident 1 screaming out in pain on 7/16/2025, when CNAs 1 and 2 transferred Resident 1 from the wheelchair to Resident 1's bed. Resident 1 also experiencing right foot pain and swelling to the right lower extremity, and was transferred to the General Acute Care Hospital (GACH) on 8/2/2025 where Resident 1 was diagnosed with a right trimalleolar fracture (a break in all three bony prominences of the ankle [medial {inner ankle}, lateral {outer ankle} and posterior {back part of shin}], a serious type of ankle fracture requiring surgical intervention). At the GACH Resident 1 received general anesthesia (a drug-induced state of unconsciousness, typically used for major surgical procedures) and had an open reduction and internal fixation (ORIF- a type of surgery used to stabilize and repair broken bones; some form of hardware is used to hold the bone together so it can heal) surgery of the right ankle. 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 hemiplegia (total paralysis to one side of body) and hemiparesis (slight muscle weakness or partial paralysis) affecting both right and left (dominant) side, muscle wasting and atrophy (gradual decline in effectiveness and causing a person or a part of the body to become progressively weaker). During a review of Resident 1's untitled care plan, dated 2/1/2025, the care plan indicated Resident 1 had Impaired Functional Mobility with Activities of Daily Living (ADL) self-care deficit. The care plan goal indicated to reduce the risk of complications related to impaired mobility. The care plan interventions indicated the facility would use the appropriate assistive device (non-specified) and provide a level of assistance that meets the residents' needs. During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 4/21/2025, the MDS indicated Resident 1 was usually able to express ideas and usually able to understand others. The MDS indicated required substantial / maximal assist (helper did more than half the effort) from sitting to lying, was not able to stand or walk 10 feet, and was dependent (helper does all the effort) on staff to transfer from chair to bed. During a review of Resident 1's Occupational Therapy (OT, a branch of health care that helps people of all ages who have physical, sensory, or cognitive problems) Progress Report for certification period 5/26/2025 - 6/22/2025, the report indicated Resident 1 used a Hoyer lift for transfers.During a review of Resident 1's Physical Therapy (PT, a healthcare profession focused on improving movement and function through various techniques like exercise, manual therapy, and education) Progress Report for certification period 5/26/2025 - 6/22/2025, the report indicated Resident 1's baseline was total dependence with bed mobility. The report indicated Resident 2 was mostly bedbound and occasionally up in her wheelchair via Hoyer lift. The report indicated Resident 1 needed maximum assistance with bed mobility and was non-ambulatory for a long time. During a review of Resident 1's Transfer Level Notes, undated, the notes indicated Resident 1 required a Hoyer lift for transfer. During a review of Resident 1's July 2025 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 056267 If continuation sheet Page 4 of 7 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 056267 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Camino Healthcare 13922 Cerise Avenue Hawthorne, CA 90250 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 0689 Level of Harm - Actual harm Residents Affected - Few Medication Administration Record (MAR), the MAR indicated from 7/1 - 7/15/2025 Resident 1 received Tramadol (medication used to treat moderate pain in adults) 50 milligrams (mg, unit of measurement) four times out of fifteen days. The MAR indicated on 7/10/2025 Resident 1's highest pain rating score during this time was a 6 out of 10, using the zero to ten pain scale (zero indicating no pain and 10 indicating most severe pain, 6 indicated moderate pain) and there was no location of the pain documented. During a review of Resident 1's MAR dated 7/16/2025 at 2:43 p.m. (date of transfer incident), the note indicated Resident 1 was given Tramadol 50 mg for complaint of body pain rated at seven out of 10 (seven indicated strong / severe pain). During a review of Resident 1's MAR dated from 7/16 - 7/31/2025, Resident 1 received Tramadol 50 mg fourteen times out of sixteen days (almost every day). The MAR indicated Resident 1's highest pain rating score of seven on 7/16 for body pain, 7/23 for knee pain with no score, and 7/28/2025 for feet pain with no score documented. During a review of Resident 1's Nursing Note, dated 7/31/2025 (two weeks after Resident 1 screamed out in pain), the note indicated FM 1 was concerned about swelling to Resident 1's ankles. The nursing note indicated, FM 1 requested an X-ray (photographic or digital image of the internal part of the body) to be sure, and Resident 1's Physician / Medical Doctor (MD) 1 ordered a STAT (immediate) X-ray to both ankles. During a review of Resident 1's Radiology Results Report, dated 7/31/2025, the report indicated Resident 1 had an acute mildly displaced fracture of the right medial malleolus (bone on the inner side of the ankle) and an acute nondisplaced fracture of the lateral malleolus (bone on the outer side of the ankle). The Radiology Results Report indicated Resident 1's fracture appeared recent. During a review of Resident 1's Change in Condition (COC, a noticeable alteration in a person's physical or mental state, or in the circumstances surrounding a situation, often triggering a [NAME] for reassessment or intervention) Evaluation, dated 8/1/2025, the evaluation indicated FM 1 reported after Resident 1 went to a doctor's appointment on 7/16/2025, CNAs 1 and 2 tried to transfer Resident 1 back to bed. The COC evaluation indicated while FM 1 was outside of Resident 1's room, FM 1 heard Resident 1's scream. FM 1 entered the room and asked Resident 1 what happened. Resident 1 reported that her leg hurts so bad. FM 1 stated Resident 1 had complained of pain since that time (7/16/2025). The COC evaluation indicated FM 1 requested an X-ray and the X-ray result indicated a fracture of Resident 1's right ankle. The COC evaluation indicated the Nurse Practitioner ordered to transfer Resident 1 to the hospital (GACH). During a review of the GACH Emergency Department (ED) Physical Exam Note dated 8/2/2025, the ED note indicated Resident 1 had significant right lateral malleoli (outer ankle) tenderness to palpitation and right foot swelling. The ED note indicated at 2:15 p.m., Resident 1 received Morphine Sulfate (a controlled substance to treat severe pain) 2 mg intravenous (into a vein) for severe pain rated at 7-10, received Norco 5/325 one tablet (an opioid pain reliever), for moderate pain, received Tylenol 650 mg for mild pain, and Ambien (a sedative, hypnotic medication). The ED note indicated Resident 1's Radiology Results and findings indicated soft tissue swelling with fracture of medial malleolus (inner ankle), distal fibula (outer side of ankle, resulting from twisting or rolling the ankle, or from a direct impact), and posterior tibia (break in back part of shin bone). The GACH ED Physical Exam note indicated the impression of Resident 1 was a trimalleolar fracture (a break in all three bony prominences of the ankle [medial, lateral and posterior], a serious type of ankle fracture requiring surgical intervention). During a review of Resident 1's GACH Progress Notes, the notes indicated Resident 1 was admitted to the hospital on [DATE] and underwent an ORIF surgery of the right ankle on 8/3/2025. During a review of the GACH Operative Report dated 8/3/2025, the report indicated Resident 1's post-operative diagnosis as a right trimalleolar ankle fracture. During an interview on 8/5/2025 at 11:53 a.m., Family Member (FM) 1 stated Resident 1 went out to (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 056267 If continuation sheet Page 5 of 7 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 056267 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Camino Healthcare 13922 Cerise Avenue Hawthorne, CA 90250 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 0689 Level of Harm - Actual harm Residents Affected - Few a doctor's appointment on 7/16/2025 and when she returned staff (CNA 1 and 2) transferred Resident 1 back to bed. FM 1 stated Resident 1 was bedbound (being confined to a bed due to illness or physical limitations) and was supposed to be transferred with a Hoyer lift. CNA 1 requested for another Certified Nursing Assistant (CNA 2) to come assist with the transfer. FM 1 stepped out into the hallway (to provide privacy) and the door was closed. FM 1 stated she heard Resident 1 scream, You broke my foot! FM 1 entered the room and found Resident 1 in bed crying and asking for pain medication. FM 1 asked CNA 1 what happened, and CNA 1 did not respond, shrugged his shoulders and left the room. On 7/31/2025 (15 days later) FM 1 noticed Resident 1's legs were swollen, reported it to the nurse (RN Supervisor) and requested an X-ray be done. FM 1 was notified the next day (8/1/2025) the Xray was completed and showed the right ankle was fractured. During a concurrent observation outside Resident 1's door and interview on 8/5/2025 at 12:40 p.m. - 1:30 p.m., the Director of Staff Development stated the red circle sticker outside a resident's door indicated two persons assist and the red heart sticker indicated Hoyer Lift. The observation outside Resident 1's door revealed there was a red heart which indicated the resident required a Hoyer lift with two persons assist for transfer. During an interview on 8/6/2025 at 10:50 a.m., CNA 1 stated that on 7/16/2025 he assisted transferring Resident 1 to the bed using a 2-person assist. CNA 1 stated Resident 1 had a red sticker outside her door which indicated a two-person assist. CNA 1 did not indicate if it was a red circle or a red heart. CNA 1 stated he and the assigned nurse (CNA 2) placed an arm under Resident 1's armpit and held her waistline, then transferred Resident 1 to bed. CNA 1 stated if you (staff in general) do not use the right technique to transfer a resident they can be injured. During an interview on 8/6/2025 at 1:43 p.m., the Registered Nurse Supervisor (RN) stated Resident 1 was assessed on 7/31/2025 and Resident 1 complained of soreness when the right ankle was touched. The RN stated, This was a new injury and how it happened was unknown. The RN stated FM 1 then told the RN (on 7/31/2025) that when staff (CNAs 1 and 2) were transferring Resident 1 back to Resident 1's bed on 7/16/2025, FM 1 heard Resident 1 scream My leg is hurting. The RNS stated FM 1 informed RN that Resident 1 complained of pain since that day (7/16/2025). During a concurrent observation of Resident 1's legs and interview on 8/7/2025 at 11:55 a.m. with Resident 1, Resident 1 was observed in bed with a splint to the right lower leg/ankle. Resident 1 stated on the date of incident (7/16/2025) staff called in a tall man (CNA 1) to help transfer her to bed from the wheelchair. Resident 1 stated, The guy, grabbed Resident 1's feet and the lady (CNA 2) grabbed her shoulders. Resident 1 stated when the CNA 1 grabbed her feet during the transfer she screamed. Resident 1 stated FM 1 entered the room right away and asked why she was crying. Resident 1 stated, He hurt my foot. Resident 1 stated staff (in general) have not transferred her like that, before and all that night (7/16/2025) she had right foot pain. Resident 1 stated staff (in general) used a Hoyer lift to transfer her and that when Resident 1 found out the ankle was fractured, she cried.During an interview on 8/7/2025 at 1:40 p.m., the Director of Staff Development (DSD) stated the proper technique for a 2-person transfer from wheelchair to bed was to have a staff member on both sides under the resident's arm, so the weight was evenly distributed, then stand and pivot in one or two steps to move the resident to the bed. The DSD stated staff should not have transferred Resident 1 by grabbing her feet and another person on her shoulders, because this method could not properly transfer the resident to bed. The DSD stated when staff used the wrong transfer technique the resident can be injured or dropped (fallen). The DSD stated Resident 1 could be transferred using a 2-person assist technique or using a Hoyer lift. The DSD stated Resident 1 was able to provide accurate information and was very precise on the description of CNA 1. The DSD stated Resident 1 was bedbound, did not stand, and did not walk, so it was not typical to get an ankle (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 056267 If continuation sheet Page 6 of 7 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 056267 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Camino Healthcare 13922 Cerise Avenue Hawthorne, CA 90250 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 0689 Level of Harm - Actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete fracture if you did not walk. The DSD stated it was not okay for Resident 1 to be injured by staff during care. During the review of the facility investigative document, undated, received to the Department on 8/7/2025, the document indicated Resident 1 was noted as a two-person assist or Hoyer lift transfer. The document indicated CNA 2 was interviewed and stated, On the afternoon of 7/16/2025, she transferred Resident 1 back to bed with another CNA (CNA 1) for assistance. The investigative document indicated CNA 2 stated Resident 1 complained of toe pain, but CNA 2 was not aware the resident bumped her foot. CNA 2 stated she went to get the charge nurse (unidentified) who gave Resident 1 pain medication. CNA 2 stated Resident 1 complained of soreness to the right ankle on 7/30/2025. The document indicated Resident 1 was interviewed and stated, I hurt my foot when they (CNA 1 and 2) were transferring me when I came back from my doctor's appointment (on 7/16/2025). The document indicated the facility ruled out abuse and injury of unknown origin. Policies and procedures for the Use of Hoyer Lift, Resident Transfer Techniques, Two Person Transfers were requested from the facility. Medical Records personnel and the facility Administrator stated the facility did not have these policies.During a review of the facility's P&P, titled Fall Management System, dated December 2023, the P&P indicated the facility would provide an environment that remains as free of accident hazards as possible. The P&P indicated to provide each resident with appropriate assessment and interventions to prevent accidents. Event ID: Facility ID: 056267 If continuation sheet Page 7 of 7