Health inspection·June 23, 2025

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 ensure a resident was able to exercise the right to access personal and medical records for one of two residents (Resident 1), when Resident 1 requested her medical records but were not provided within 48 hours of the request as per the facility's policy. This failure resulted in a violation of Resident 1's right to have access to medical records as requested by Resident 1. Findings: During a review of Resident 1 Face Sheet (contain resident demographic), the Face Sheet indicated, Resident 1 was admitted on [DATE], with diagnosis that included polyneuropathy (a condition where multiple peripheral nerves throughout the body are damaged). During a review of Resident 1 ' s Minimum Data Set (facility assessment tool), dated April 5, 2025, under Section C, it indicated her Brief Interview for Mental Status (BIMS) score was 14. (A BIMS score of 13 to 15 suggests the patient is cognitively intact.) During an interview on June 23, 2025, at 9:55 AM with Resident 1, Resident 1 presented emails that she had sent to the Medical Record (MR 1) and the Director of Nursing (DON 1). She indicated that she has not yet received her medical record and has not received any communication from them. She expressed her desire to arrange a meeting with them to discuss this matter. During a concurrent Record Review and Interview on June 23, 2025, at 10:15 AM, in the Medical Record office with Assistant Medical Record (AMR 1). Both incoming and outgoing emails were examined. The incoming emails revealed that on May 13, 2025, the Medical Record Department had received a request for psychiatric records from resident 1. On May 20, 2025, the Medical Record Department had received a request for a complete copy of medical records from resident 1. On May 29, 2025, the Medical Record Department had received a request for a medical release form from Resident 1. On May 30, 2025, the Medical Record Department had received an urgent follow-up email regarding the failure to provide medical records from Resident 1. On June 5, 2025, the Medical Record Department had received a request for a medical record release form from Resident 1. The outgoing emails indicated that an email was sent to Resident 1 on May 23, 2025. AMR 1 confirmed that only one response email was sent to Resident 1. During a concurrent interview on June 23, 2025, at 10:59 AM with Resident 1, the Assistant Medical Record (AMR 1), and the Administrator (Admin 1). Resident 1 indicated that the records department Page 1 of 2 555089 555089 06/23/2025 Meadows Ridge Care Center 1700 E Washington St Colton, CA 92324

F 0573 Level of Harm - Minimal harm or potential for actual harm only supplied her with the psychiatric notes she had requested through email on May 13, 2025, but did not respond to her emails concerning her medical record requests. The resident mentioned that she had requested her complete medical record via email on May 20, 2025, and followed up on her request through email on May 29, 2025, again on May 30, 2025, and once more on June 5, 2025. However, she has yet to receive her medical record or any replies to her emails regarding her medical record requests. Residents Affected - Few During a concurrent Record Review and Interview on June 23, 2025, at 11:59 AM, in the Medical Record Office with the Medical Record (MR 1). MR 1 acknowledged that she had received Medical Record request via email from Resident 1 on May 20, 2025, May 29, 2025, May 30, 2025, and June 5, 2025. The MR 1 indicated that, according to her understanding of the policy, she is required to provide Resident 1 with the requested documents within 48 hours. She stated that when a resident requests medical records, it implies a request for the complete record. She acknowledged that Resident 1 has not yet received the complete medical record that was requested and admitted that she did not respond to Resident 1's emails. Furthermore, she could not provide a reason for her lack of response to the emails, nor could she explain why the records have not been released, suggesting that she is simply busy. She noted that, according to policy, in this situation, she is not meeting the expected standards. During an interview on June 23, 2025, at 12:30 PM, in the Medical Record Office with the Admin 1. The Admin 1 expressed his agreement that MR 1 is failing to meet the expectations outlined in the policy regarding the provision of requested documents to residents. A review of the facility Policy and Procedure (P&P) titled, Release of information , dated November 2009, indicate .10. A 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. A fee may be charged for copying services . 555089 Page 2 of 2