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 provide a copy of the medical records upon written request
for one of three sampled residents (Resident 1).This deficient practice violated Resident 1's right to obtain a
copy and Resident 1's representative to obtain a copy of Resident 1's medical records.Findings: During a
review of Resident 1's admission Record (AR), the AR indicated Resident 1 was admitted to the facility on
[DATE] with diagnoses that included hemiplegia (total paralysis of the arm, leg, and trunk on the same side
of the body) and hemiparesis (weakness in the arm, leg, and face on one side of the body) following
cerebral infarction (damage to tissues in the brain which occurs because of disrupted blood flow to the
brain). During a review of Resident 1's Discharge summary, dated [DATE], the summary indicated Resident
1 was discharged on 6/16/23 to Facility #2 at the request of Resident 1's family, so Resident would be
closer to home. The summary indicated the final diagnoses during the stay were altered level of
consciousness (ALOC- a change in a person's mental state, affecting their awareness, alertness, and
responsiveness to their environment), hypertension (high blood pressure), diabetes mellitus (DM-a disorder
characterized by difficulty in blood sugar control and poor wound healing), and stroke (damage to the brain
from interruption of its blood supply). During a review of the e-mail from the complainant, dated 8/19/25, the
complainant stated the Medical Records Director (MRD) was personally served a medical records request
for Resident 1's medical records on 7/31/25. During an interview on 8/19/25 at 9:38 a.m. with the Medical
Records Director (MRD), the MRD stated once the requester completes the medical records request form,
the facility has 24 to 48 hours to provide records. During an interview on 8/19/25 at 2:52 p.m. with the MRD,
the MRD stated the medical records log sheet only tracked the resident and family medical records
requests. MRD stated hospital requests for records are faxed to the facility and do not appear on the log.
MRD stated attorney letters requesting medical records are sent to the facility's attorney's office for review
before the release of information. MRD stated the facility has a week to process the request. MRD stated
once the facility's attorney gives the approval to release the information, then the facility also checks with
the Director of Nursing (DON) before the final release of the information. During an interview on 8/20/25 at
4:26 p.m. with the MRD, the MRD stated the MRD received the medical records request for Resident 1's
medical records from [name of legal services] on 7/31/25 and the MRD sent the medical records request
the MRD received from [name of legal services company] to the facility's attorney for review on 8/5/25.
During an interview on 8/20/25 at 4:50 p.m. with the complainant, the complainant stated as of 8/20/25, the
complainant has not received any of Resident 1's records from the facility. During a review of the facility's
current Policy & Procedure (P&P) titled, Release of Information, revised November 2009, the P&P indicated
All information contained in the resident's medical record is confidential and may only be released by the
written consent of the resident or his/her legal representative (sponsor), consistent with state laws and
regulations; A
(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 2
Event ID:
056477
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
056477
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Eastland Subacute and Rehabilitation Center
3825 Durfee Ave
El Monte, CA 91732
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 0573
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
resident may obtain photocopies of his or her records by providing the facility with at least a forty-eight (48)
hour (excluding weekends and holidays) advance notice of such request. During a review of the facility's
current Policy & Procedure (P&P) titled, Resident Rights, revised February 2021, the P&P indicated Policy
Interpretation and Implementation: Federal and state laws guarantee certain basic rights to all residents of
this facility. These rights include the resident's right to appoint a legal representative, in accordance with
state law; access to personal and medical records pertaining to him or herself.
Event ID:
Facility ID:
056477
If continuation sheet
Page 2 of 2