Health inspection·July 21, 2023

F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, record review, the facility failed to ensure one of 3 sampled residents (Resident 1) had staff identify themselves with name badges while they received care. Residents Affected - Few This failure had the potential to cause Resident 1 confusion and emotional distress. Findings: During a concurrent observation and interview on 7/11/23, at 1:16 p.m., Resident 1 stated he could not identify most of the staff that were assigned to him. Resident 1 stated staff didn't wear name badges and didn't say their name when they provided care. Resident 1 stated it made him upset and confused. During a concurrent observation and interview on 7/11/23, at 2:00 p.m., with Certified Nursing Assistant (CNA) 1, CNA 1 was observed without a name badge. CNA 1 stated they were assigned to resident 1 and gave Resident 1 a bed bath, back rub and applied A&D ointment (Vitamins A & D - a skin protectant) to Resident 1's lower legs and feet earlier that morning. CNA 1 stated they should have worn a name badge with their name and title, and they did not have one. CNA 1 stated they never got one and it was their first day working on the floor. CNA 1 stated it was a risk to the resident because they wouldn't be able to identify staff. During an observation on 7/11/23, at 2:15 p.m., CNA 2 talked to Resident 1 in the front lobby. During a concurrent observation and interview on 7/11/23, at 2:21 p.m., with CNA 2, CNA 2 was observed without a name badge. CNA 2 stated they should have worn a name badge with their name and title, and they did not have one. CNA 2 stated they never got one and it was their first day working on the floor. CNA 2 stated it was a risk to the residents because they would not know who they were. During a concurrent observation and interview on 7/11/23, at 2:55 p.m., with Director of Nursing (DON), DON was observed without a name badge. DON stated it was the facility's policy that all staff always wore name badges with their name and title while in they were in the facility. DON stated that included new staff. DON stated it was a risk to the resident because residents should know who was caring for them. During a review of Resident 1's Brief Interview for Mental Status (BIMS, a screening tool used to assess cognition), dated 3/16/23, the BIMS indicated, Resident 1 had intact cognition. During a review of the facility's policy and procedure (P&P) titled, Identification of a Resident & Staff, revised January 1, 2012, the P&P indicated, The Facility provides each Facility Staff member Page 1 of 2 555313 555313 07/21/2023 The Rehabilitation Center of Oakland 210 40th Street Way Oakland, CA 94611

F 0552 Level of Harm - Minimal harm or potential for actual harm with a name badge upon hire, which must be worn at all times while in the Facility or on the grounds. The P&P indicated The approved name badge will consist of the employee's name and job title legibly printed. The P&P indicated Each Facility Staff member must wear the approved name badge above the waist in an area readily visible to residents, family, surrogates and visitors. Residents Affected - Few 555313 Page 2 of 2