Health inspection·January 26, 2024

F 0626 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to readmit one of three sampled residents (Resident 1) from the general acute care hospital (GACH) after Resident 1 was cleared by the GACH to return to the facility on 1/25/2024. This resulted in the denial of Resident 1 ' s right to return to the facility. Finding: During a review of Resident 1 ' s admission Record (Face Sheet), the Face Sheet indicated Resident 1 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including diabetes (high blood sugar), muscle weakness (a lack of strength in the muscles), dysphagia (swallowing difficulties), chronic kidney disease ([CKD] a condition in which the kidneys are damaged and cannot filter blood), and heart failure (a condition when heart doesn ' t pump enough blood for body ' s needs). During a review of Resident 1 ' s History and Physical (H&P) dated 11/27/2023. The H& P indicated Resident 1 had the capacity to make medical decisions. During a review of Resident 1 ' s Minimum Data Set ([MDS] a standardized assessment and care screening tool), dated 11/29/2203, the MDS indicated Resident 1 was able to make self-understood and understand others. The MDS inidcated Resident 1's cognitiion was intact (ability to think and reason). The MDS inidcated Resident 1 required maximal assistance from staff for showering, grooming, bed mobility, and transfer. During a review of Resident 1 ' s Progress Note dated 12/17/2023 at 11 AM, the progress note indicated Resident 1 was admitted to the GACH due to acute kidney injury (when kidneys have stopped working well enough for you to survive), and pneumonia (an infection that effects one or both lungs). During a telephone interview on 1/26/2024 at 11:10 AM with the GACH Case Manager, the GACH CM stated the facility would not re-admit Resident 1 back to the facility because Resident 1 was positive for Candida auris (C. Auris, a type of fungus that grows as yeast that can cause severe illness and spreads easily among patients in healthcare facilities). The CM stated she was told by the facility ' s Director of Nursing (DON) Resident 1 could not return to the facility because of the isolation status. During an interview on 1/26/2024 at 12:57 PM with the DON, the DON stated the facility would not Page 1 of 2 555130 555130 01/26/2024 Maywood Skilled Nursing & Wellness Centre 6025 Pine Ave Maywood, CA 90270

F 0626 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few readmit Resident 1 back to the facility because Resident 1 was positive for C. Auris. The DON stated Resident 1 would require isolation and that the facility did not have an isolation room available. During a concurrent interview and record review on 1/26/2024 at 3:33 PM with the DON, the facility ' s census dated 1/25/2024 was reviewed. The census indicated on 1/25/2024, there was a total of 112 in-house residents with eight residents on bed hold. The total in-house residents including bed holds was 120. The DON stated the facility's bed capacity was 133. The DON stated there was available room to readmit Resident 1 back to the facility. During a telephone interview on 1/30/2024 at 9:48 AM with the admission Coordinator (AC), the AC stated she stopped the readmission of Resident 1 back to the facility because Resident 1 was positive for C. Auris. The AC stated the facility did not currently have any other residents on C. Auris isolation. The AC stated Resident 1 would require isolation for an extensive period and the facility did not currently have a C. Auris isolation room available. During a review of the facility ' s Policy and Procedure (P&P) titled, Bedhold, undated, the P&P indicated the facility shall allow residents, who, because of medical necessity, are transferred to the acute hospital, to have the option of having the facility hold their bed open for up to seven (7) days or more, upon request. The facility shall allow a resident, whose hospitalization or therapeutic leave exceeds the bed-hold period (7 days), to be readmitted to the facility immediately upon the first availability of a bed in a semi-private room. During a review of the facility ' s P&P titled, Readmission, revised 10/1/2013, the P&P indicated the facility will provide readmission of residents who require services provided by the facility. During a review of the All Facilities Letter 23-37 (AFL, a letter from the Center for Health Care Quality [CHCQ], Licensing and Certification [L&C] Program to health facilities that are licensed or certified by L&C which contain information that include changes in requirements) dated 12/22/2023, AFL 23-37 indicated skilled nursing facilities (SNFs) must provide residents with equal access to quality care regardless of diagnosis, severity of condition, or payment source. 555130 Page 2 of 2