Health inspection·October 17, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on interview and record review, the facility failed to ensure residents were treated with respect and dignity in a manner that promotes maintenance or enhancement of their quality of life for one of three sampled residents (Resident 1) when the transportation attendant stated to Resident 1 You shut up! This deficient practice had the potential to result in emotional distress and loss of dignity for Resident 1. Findings: During a record review of Resident 1 ' s admission Record, the admission Record indicated the facility admitted the resident on 3/26/2024 with diagnoses of end stage renal disease (irreversible kidney failure), dependence on renal dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed), generalized muscle weakness, and abnormalities of gait and mobility (the pattern of movement a person uses when walking or running, and how well they can move). During a record review of Resident 1 ' s Minimum Data Set (MDS, a federally mandated resident assessment tool) dated 9/30/2024, the MDS indicated Resident 1 to be fully alert, able to answer questions, and capable of completing decision-making tasks. During a phone interview on 10/17/2024 at 2:17 p.m. with Licensed Vocational Nurse 1 (LVN 1), LVN 1 stated on 10/2/2024 approximately between 4:30 p.m. to 5 p.m., Resident 1 was returning from dialysis in a gurney (a wheeled stretcher used for transporting patients) accompanied by two transportation attendants. LVN 1 stated she heard the transportation attendant yell You shut up! to Resident 1. During an interview with Registered Nurse 1 (RN 1) on 10/17/2024 at 2:57 p.m., RN 1 stated yelling shut up to resident is not appropriate or acceptable as the residents are elderly and may be sensitive especially if they are ill. RN 1 stated that staff need to be careful of what words are used when speaking to the residents. During an interview with Resident 1 on 10/17/2024 at 3:45 p.m., Resident 1 stated he recalled being told to Shut up by the transportation attendants. When asked about the encounter, Resident 1 stated feeling afraid to be abused. During an interview with Registered Nurse 2 (RN 2) on 10/17/2024 at 4:04 p.m., RN 2 stated when she interviewed Resident 1 on 10/2/2024 after the incident with the transpotation attendants, Resident Page 1 of 2 555012 555012 10/17/2024 Valley Village Care Center 13000 Victory Blvd North Hollywood, CA 91606

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 1 stated to RN 2 the transportation attendants were rude to him (Resident 1). RN 2 stated, It is not appropriate to say shut up to a resident because they are sick and whatever disease they have, they can already be moody, and we need to provide emotional support to help the residents. We need to be supportive to the residents all the time as they are already sick, and they need more support to fight and keep up with disease they have as sometimes it is a chronological disease (a long-term health condition) as they live with the disease to the best of their ability. A record review of the facility provided policy and procedure titled Resident Rights with last revised date of 2/2021 indicated, Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the residents right to: a. a dignified existence; b. be treated with respect, kindness, and dignity; c. be free from abuse, neglect, misappropriation of property, and exploitation. 555012 Page 2 of 2