Other·January 24, 2019

F000 INITIAL COMMENTS

F000 DEFICIENCY) COMPLETE DATE The following reflects the findings of the California Department of Public Health during a standard abbreviated survey regarding investigation of an entity reported incident conducted on 1/22/19. For Entity Reported Incident CA00618198 regarding Quality of Care/Treatment, Resident Safety, a federal deficiency was identified (see

F600). Also, a "B" Citation was issued. Inspection was limited to the specific entity reported incident investigated and does not represent the findings of a full inspection of the facility. Representing the California Department of Public Health: 32276, Health Facilities Evaluator Nurse.

F600 SS=D Free from Abuse and Neglect CFR(s): 483.12(a)(1)

F600 01/24/2019 §483.12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. 055739 01/22/2019 SALINAS VALLEY POST ACUTE 637 E Romie Ln Salinas, CA 93901 PREFIX TAG ID PREFIX TAG DEFICIENCY) COMPLETE DATE §483.12(a)(1) Not use verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion; This REQUIREMENT is not met as evidenced by: Based on interview and record review, the facility failed to protect one of two sampled residents (Resident 1) from verbal abuse when Housekeeper A (HSK A) swore at Resident 1. This failure had the potential to cause emotional distress for Resident 1. Findings: During an interview with the Administrator (ADM) on 1/7/19 at 9:09 a.m., he stated he investigated an allegation of verbal abuse against Resident 1. He had been notified Resident 1 and HSK A had a verbal argument which resulted in HSK A calling Resident 1 a [profane language]. He stated HSK A admitted to calling Resident 1 a [profane language]. During an interview with Resident 1 on 1/7/19 at 11:25 a.m., he stated on 1/2/19, HSK A swore at him and called him a [profane language]. During a review of the clinical record for Resident 1, the IDT (Interdisciplinary Team) Progress Notes dated 1/2/19 at 2:36 p.m., indicated " ...resident and member of housekeeping were engaged in a conversation which became heated and resulted in housekeeper using unprofessional language directed at resident." The facility's policy and procedure, "Abuse Prohibition and Prevention Policy and Procedure and Reporting Reasonable Suspicion of a crime in the Facility Policy and 055739 01/22/2019 SALINAS VALLEY POST ACUTE 637 E Romie Ln Salinas, CA 93901 PREFIX TAG ID PREFIX TAG DEFICIENCY) COMPLETE DATE Procedure" dated 3/2018, indicated "This facility prohibits and prevents abuse ...Each resident has the right to be free from ...mental/emotional ...verbal ...Residents must not be subjected to abuse by anyone, including but not limited to, facility staff ..."