Inspection·January 29, 2026

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on interview and record review, the facility failed to ensure one (Resident 1) of nine sampled residents was free from abuse when Resident 1 became the victim of an alleged abuse event.This failure had the potential to negatively impact the resident's psychosocial well-being.A review of Resident 1's admission record indicated he was admitted in October 2025 with the diagnosis of encounter for palliative care (specialized medical care for individuals living with serious, chronic or life threatening illness that focuses on providing relief from the symptoms, pain and stress), acute chronic systolic (congestive) heart failure (a heart disorder which causes the heart to not pump the blood efficiently, sometimes resulting in leg swelling), muscle weakness, hearing loss and absence of left leg, below the knee.A review of Resident 1's Minimum Data Set (MDS- a federally mandated resident assessment tool), dated 1/10/26, indicated Resident 1 had slight memory impairment.In an interview, on 1/29/26 at 10:41 a.m. the Director of Nursing (DON) stated the facility substantiated the allegation of abuse and CNA 1 was terminated from her position. A review of a Termination Request email dated 1/12/26 at 12:30 p.m. by the Administrator and written to the corporate office stated, I am requesting to terminate employee [CNA 1] for abuse. The employee was overheard while providing a shower to a resident yelling and swearing. The resident was visibly bothered upon the interview. An interview on 1/29/26 at 1:21 p.m. with Resident 1, Resident 1 stated CNA 1 yelled and sweared [sic] at him and he did not like how he was treated.A review of Resident 1's care plan, dated 1/12/26 indicated Resident 1 was a victim of alleged abuse secondary to CNA [1] yelling at him when in the shower and calling him an asshole. During a review of the facility's policy titled, Abuse Prevention and Management, effective 2024, the policy stipulated, The facility does not condone any form of resident abuse., include[ing] verbal abuse. Verbal abuse is defined as any use of oral, written, gestured communication, or sounds that willfully includes despairing and derogatory terms directed to resident. 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: 056361 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 056361 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/29/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Fortuna Rehabilitation and Wellness Center, LP 2321 Newburg Road Fortuna, CA 95540 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)