Health inspection·November 9, 2023

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, observation and record Review, this requirement was not met when staff caused pain and redness to a resident ' s foot, resulting in a delay in the progress toward his rehabilitation goals. Findings: A review of the Clinical Record indicated Resident 1 was admitted to the facility on [DATE] for rehabilitation of worsening contractures (rigidity, shortening and hardening of the muscles and tendons) in his feet; Resident 1 was wheelchair bound. Review of Resident 1 ' s Minimum Data Set (MDS) Section G, Functional Status, dated 9/7/23, indicated that Resident 1 required Extensive Assistance for transferring from one surface to another, moving side to side in bed, toilet use, and dressing. Review of the facility ' s record titled Physical Therapy Evaluation and Plan of Treatment dated 9/4/23 indicated, Patient admitted to [a nearby hospital] for evaluation and now being seen here secondary to significant loss of function with both lower extremities exhibiting extensor tone [spasticity of the muscle that straightens the foot] and drop foot (difficulty in lifting the foot) with inability to stand or ambulate [walk]. The record further indicated that Resident 1 was at risk for contracture(s), decreased ability to return to prior living environment, decrease in level of mobility .further decline in function, immobility, and increased dependency upon caregivers, and, muscle atrophy, the deterioration of muscle from disuse. Review of the facility ' s Job Description for Restorative Aide date 4/1/22, indicated that the Restorative Nursing Aide (RNA) provides restorative nursing therapy treatments to residents to help resident attain/maintain their highest level of function. Review of the facility ' s Occupational Therapy Evaluation and Plan of Treatment dated 9/7/23 indicated that resident was receiving skilled Occupational Therapy services to maximize rehab potential, increase functional activity tolerance [ability to tolerate exercise], facilitate sitting tolerance [ability to sit in wheelchair for extended periods], and postural control [ability to sit up straight]. Review of an Occupational Therapy Treatment Encounter Note dated 10/25/23 indicated that on 10/25/23, Resident 1 reported that while being cared for by RNA 1, his left lower extremity had been pushed on and was very sore, and that an area of redness was seen on that day that was more bright in color, and that later the area was observed to be purplish in color. The record further indicated that Resident 1 stated that his foot was sore from [RNA 1] ' bouncing ' when stretching his foot to put on a supportive splint for his foot drop. (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: 555281 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 555281 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/09/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oroville Hospital Post-Acute Center 1000 Executive Parkway Oroville, CA 95966 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)