Health inspection·February 2, 2026

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on interview and record review, the facility failed to ensure that an allegation of sexual abuse involving one of five sampled residents (Resident 1) was reported to the California Department of Public Health (CDPH) within two hours after the facility had knowledge of the allegation, as required by federal regulations (Pursuant to Title 42 Code of Federal Regulations section 483.12(c)(1)). This failure delayed the CDPH's review of the alleged abuse and potentially placed Resident 1 and other residents in the facility at risk for ongoing abuse. Findings:During an interview on 1/27/26 at 3:52 PM with Resident 1 at his bedside, Resident 1 stated, .someone tried to climb on me. and it happened only once.it happened about two nights ago. It was dark but he was tall and bald. Resident 1 further stated, .He tried to have sex with me, he pulled down my pants, he took his thing out, he tried to climb on top of me.I pushed him away.I screamed for help, my neighbor heard it.then he went away. Resident 1 later identified the individual as CNA 2. During a review of Resident 1's Minimum Data Set (MDS, an assessment tool) dated 12/19/25, the MDS indicated a Brief Interview for Mental Status (BIMS, an assessment tool) score of 9 (BIMS scores are as follows: 13 to 15: Normal thinking and memory (no or very little impairment) 8 to 12: Moderate problems with thinking and memory. 0 to 7: Severe problems with thinking and memory). During a phone interview on 1/28/26 at 10:39 AM with Certified Nursing Assistant (CNA) 1, CNA 1 stated that on Sunday (1/25/26) at approximately 2:15 PM, Resident 1 showed her a notepad with the word rape written on it and stated that the male CNA on the NOC (night) shift was raping him. CNA 1 stated she reported the allegation to Licensed Nurse (LN) 3 between 2:30 PM and 3:00 PM on 1/25/26 and provided a written statement the same day.During a phone interview on 2/2/26 at 2:28 PM with Licensed Nurse (LN) 3, LN 3 stated that she was notified of the allegation involving Resident 1 at approximately 2:30 PM on 1/25/26 and immediately notified LN 2.During a review of the facility's Progress Note dated 1/25/26 at 5:15 PM, authored by LN 2, the note indicated the Administrator (ADM) and Director of Nursing (DON) were made aware of the allegation.During an interview on 1/28/26 at 11:37 AM with the ADM, the ADM stated she was notified of the allegation on 1/25/26 at approximately 3:17 PM. The ADM stated the CDPH was notified on 1/25/26; however, she was unable to provide evidence of the exact time of notification.During an interview on 1/28/26 at 1:20 PM with the Director of Nursing (DON), the DON stated that law enforcement was notified on 1/25/26 at approximately 4:15 PM. The DON stated that the CDPH was notified on 1/25/26; however, she was unable to provide evidence of the time of notification.During a review of the SOC 341 submitted to the CDPH by the facility, the SOC 341 for Resident 1 was received via email on 1/26/26 at 1:57 PM.During a telephone interview on 2/23/26 at 9:39 AM with the ADM, the ADM stated she was aware that the alleged abuse involving Resident 1 should have been reported to the CDPH within two hours. The ADM stated staff documented that the SOC 341 was sent to CDPH; however, she was unable to provide documentation confirming submission to CDPH within the required two-hour timeframe on 1/25/26.A review of the facility's policy titled Abuse Prevention Program, revised 12/2016, Page 1 of 2 555190 555190 02/02/2026 English Oaks Convalescent & Rehabilitation Hospita 2633 West Rumble Rd Modesto, CA 95350

F 0609 indicated, .residents have the right to be free from abuse.this includes.sexual abuse.Investigate and report any allegations of abuse within timeframes as required by federal requirements. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 555190 Page 2 of 2