Health inspection·December 8, 2023

F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Let each resident or the resident's legal representative access or purchase copies of all the resident's records. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to follow their policy and procedure (P&P) titled, Resident Access to Records, by not providing a copy of medical records within the policy ' s time frame for one of three sampled residents' (Resident 1) responsible party (RP, a person responsible for paying resident's bills or making healthcare decisions). This failure resulted in Resident 1 ' s RP ' s rights being violated when the facility did not provide access to Resident 1 ' s medical records within 48 hours. from 10/30/23 to 12/8/23 (total of 39 days). Findings: During a review of Resident 1 ' s admission Record indicated Resident 1 was admitted to the facility on [DATE]. Resident 1 ' s diagnoses included urinary tract infection (an infection when bacteria gets into the urinary system [system that removes waste from the blood, in the form of urine]) and acute pancreatitis (a condition where the pancreas [organ that regulates digestion and blood sugar] becomes inflamed [swollen] over a short period of time). The RP was listed in the admission Record as the first contact person in an emergency. During a review of Resident 1 ' s Minimum Data Set (MDS, a standardized resident screening and care-planning tool) dated 10/27/23, indicated Resident 1 had the ability to understand others and was understood by others. During a review of Resident 1 ' s Discharge Assessment, dated 10/30/23, indicated the facility transferred Resident 1 to a general acute care hospital (GACH) on 10/30/23, due to Resident 1 being unresponsive. During a review of the RP ' s letter sent to the facility, dated 10/30/23, indicated the RP ' s written request was for Resident 1 ' s medical records from 10/26/23 to 10/30/23. The RP ' s letter indicated Resident 1 was unable to sign due to Resident 1 had passed away. During an interview on 12/8/23 at 12:11 pm, the Director of Medical Records (DMR) stated, she remembered the RP ' s request for Resident 1 ' s medical records but she forgot to provide the RP the medical records. The DMR stated, the facility ' s policy was to provide medical records within 48 hours. During a review of the facility ' s P&P titled, Resident Access to Records, revised on 1/21/2019, Page 1 of 2 056331 056331 12/08/2023 Beacon Healthcare Center 919 N Sunset Ave West Covina, CA 91790

F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few indicated the facility and/or its business associates or subcontractors of the business associate will provide access to any adult resident or any resident ' s authorized representative to inspect, to obtain copies or a summary explanation of health information/records, whether maintained electronically or manual, located in one or more designated record sets, in form and format requested, when possible. The policy indicated the facility was to make records available for inspection by the resident or the resident ' s representative within 24 hours of request (excluding weekends and holidays). The facility was to send requested copies of the record by mail with return receipt requested within 48 hours (excluding weekends and holidays) of the receipt of a valid written request. 056331 Page 2 of 2