Health inspection·March 26, 2024

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to provide treatment and care in accordance with professional standards of practice for one of three sampled residents (Resident 1) when Resident 1 was admitted in the facility on 10/3/24 for status post left hemiarthroplasty (a surgical procedure where half of the hip is relaced) and scheduled to have a follow-up appointment with Orthopedic Surgeon (OS- a physician who specialized in treating injuries and diseases of the bones) on 10/26/23. The Facility did not know of the appointment and did not perform a hip xray (a test used to create pictures inside of the body) for Resident 1 to bring for the appointment. Residents Affected - Few This failure resulted for Resident 1 to arrive on his OS appointment without a hip x-ray result and was not assessed by the OS to ensure recovery was proceeding as expected and early detection of potential complications such as hip dislocation, infection, blood clots, and loosening of the joint. Findings: During an interview on 3/19/24, at 8:06 a.m. with the Family Member (FM), the FM stated Resident 1 recently had a surgery on his hip performed by OS and scheduled to have his first follow-up appointment with OS on 10/26/23. The FM stated she arrived at the facility on 10/26/23 to accompany Resident 1 to his orthopedic appointment. The FM stated the facility did not know of the OS appointment and only knew when she arrived and told them. The FM stated the facility did not arrange transportation services to the appointment and she ended up using her car to take Resident 1 to the appointment. The FM stated when they arrived at the orthopedic appointment the OS asked for the hip x-ray result. The FM stated the facility did not provide the hip x-ray result and OS would not assess Resident 1's hip without the x-ray result. The FM stated, It was a waste of time. During an interview on 3/26/24, at 2:55 p.m. with the Assistant of Staff Development (ASD), the ASD stated on 10/26/23 she was assigned for residents' appointment and transportation. The ASD stated on 10/26/23 FM arrived in the facility to accompany Resident 1 for his OS follow-up appointment. The ASD stated she did not know Resident 1 had an OS appointment she only knew of the appointment when FM told her. The ASD stated there was no transportation arranged and FM drove Resident 1 for his appointment using her own car. The ASD stated when Resident 1 arrived for his follow-up appointment the OS did not see Resident 1 because there was no hip x-ray result. The ASD stated the usual process was during resident admission in the facility, the admission staff normally provides me the residents appointment information to prepare residents for their appointments and it did not happen for Resident 1. The ASD stated the facility knew OS always wants an x-ray result for his patients to bring for follow-up appointment. The ASD stated a hip x-ray should have been performed prior to Resident 1 going to his follow-up appointment. During a concurrent interview and record review on 3/26/24 at 3:40 p.m. with the Director of Staff (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 555240 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555240 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/26/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Turlock Nursing & Rehabilitation Center 1111 E Tuolumne Road Turlock, CA 95380 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)