Health inspection·September 23, 2025

F 0576 Ensure residents have reasonable access to and privacy in their use of communication methods. Level of Harm - Minimal harm or potential for actual harm Based on observations, interviews, and record review, the facility failed to ensure that one of five sampled residents (Resident 1's) right to send and receive mail was protected when it withheld Resident 1's mail for a period of seven months.This failure had the potential to cause emotional distress such as social isolation, missed important matters, and distrust in care for Resident 1.Findings:Resident 1 was admitted to the facility in March of 2025 with diagnoses that included depression.During an interview on 9/22/25 at 12:51 p.m. with Resident 1, Resident 1 indicated that she had been waiting for important letters from her insurance and law enforcement that were of significance to her and caused her to worry. During a concurrent interview and record review on 9/22/25 at 3:59 p.m., with the Activities Director (AD), Resident 1's Order Details, dated 3/7/25, was reviewed. The Order Details indicated, Resident has capacity to make her decisions. The AD indicated that Resident 1's mail was being withheld by activities staff since March of 2025, since they believed Resident 1 did not have capacity to make her own decisions.During an interview on 9/23/25 at 10:47 a.m. with the Director of Nursing (DON), the DON indicated residents at the facility have the right to receive mail and that she expected staff to give the mail directly to the residents when appropriate.During a review of the facility's policy and procedure (P&P) titled, Mail and Electronic Communication, revised 5/17, the P&P indicated, Residents are allowed to communicate privately with individuals of their choice and may send and receive personal mail, email and other electronic forms of communication confidentially.Mail and packages will be delivered to the resident within twenty-four (24) hours of delivery on premises or to the facility's post office box (including Saturday deliveries). Residents Affected - Some 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: 056410 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 056410 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Whitney Oaks Care Center 3529 Walnut Avenue Carmichael, CA 95608 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)