Health inspection·March 13, 2025

F 0622 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Based on interview and record review, the facility failed to ensure the transfer or discharge requirements were met for one sampled resident (Resident 1) when, the facility issued a 30-Day Notice of Discharge/Eviction to Resident 1 and Resident 1's Responsible Party (RP) for a denial of payment for services while an application for Medi-Cal (a public health insurance program which provides needed health care services for low-income people) was pending. This failure had the potential to negatively impact Resident 1's psychosocial well-being due to being given the 30-Day Notice of Discharge/Eviction. Findings: A review of Resident 1's social services note, dated 1/8/25, at 3:15 PM, indicated the facility was aware Resident 1's Medi-Cal application was in review. Review of Resident 1's social services note, dated 1/11/25, at 3:31 PM, indicated, Resident 1's RP acknowledged that Resident 1's Medi-Cal application was still under review and was not currently active. During an interview on 3/27/25, at 2:05 PM, with the Social Service Director (SSD), the SSD stated if a Medi-Cal application was pending, or a proposed discharge was being appealed it was within the resident's rights to be allowed to stay at the facility. During a concurrent interview and record review, on 3/27/25, at 3:17 PM, Resident 1's medical record was reviewed with the Social Services Assistant (SSA). The SSA confirmed that on 1/17/25 a 30-Day Notice of Discharge/Eviction Due to Denial of Payment was given to Resident 1. The SSA further stated it was on 1/11/25 when the facility was made aware of a Medi-Cal application on Resident 1's behalf by Resident 1's RP. During an interview on 3/27/25, at 4:17 PM, with the Administrator (ADM), the ADM stated it was on 1/30/25 when he was made aware of Resident 1's approval for Medi-Cal coverage retroactively effective on 1/1/25. Review of the California Advocates for Nursing Home Reform (CANHR) online website article titled TRANSFER AND DISCHARGE RIGHTS, updated 9/4/24, in the section titled Converting to Medi-Cal, indicated, .Facilities are prohibited from transferring or discharging residents who have made a timely application for Medi-Cal and for whom an eligibility determination has not been made .If a resident's initial Medi-Cal application is denied but appealed, the resident is not considered to be in nonpayment Page 1 of 2 555245 555245 03/13/2025 North Park Post-Acute 2586 Buthmann Ave Tracy, CA 95376

F 0622 status. Thus, an appeal suspends a finding of nonpayment . Level of Harm - Minimal harm or potential for actual harm (https://canhr.org/transfer-and-discharge-rights/) Residents Affected - Few 555245 Page 2 of 2