Health inspection·May 31, 2024

F 0553 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Allow resident to participate in the development and implementation of his or her person-centered plan of care. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to honor resident rights for one out of three sampled residents (Resident 1) when Resident 1's caregiver (CG) requested a nurse to be present at the care conference meeting (a group of medical professionals that met to discuss resident care and care planning with the resident, family members, or caregivers), and nursing was not notified of the request. This failure had the potential for Resident 1 and Resident 1's representatives to not be allowed to participate in resident care planning. Findings: A review of the facility's policy and procedure titled, Care Planning- Interdisciplinary Team, revised 3/1/22, indicated, the Interdisciplinary Team (IDT, a group of medical professions that meet to discuss resident care and care planning) was responsible for .the development of resident care plans and nursing was included in the IDT. A review of the undated admission Record, indicated, Resident 1 was admitted to the facility on [DATE] with the diagnoses of hypertensive heart disease (heart problems that were caused by high blood pressure) and diabetes. Resident 1 was her own responsible party (made own decisions about heath care). During an interview on 5/14/24 at 12:27 pm, CG stated, CG had a conversation with the facility's social worker (SW) and requested nursing to be present at Resident 1's care conference meeting due to concerns of diabetes and bathroom assistance. During a concurrent record review and interview, on 5/31/24 at 9:29 am, with SW, Resident 1's Care Conference Meeting note, dated 4/22/24 was reviewed. SW confirmed a request had been made for nursing to be present at Resident 1's care conference meeting. SW stated, the Care Conference Meeting note indicated, the IDT team members present included the SW, physical therapy, and the occupational therapist. SW stated, Resident 1 was medically stable, and didn't require nursing to be present, and the care conference meeting was focused on care received from physical therapy and occupational therapy. SW confirmed, nursing should have been included in the care conference and was not. During an interview, on 5/31/24 at 10:26 am, Director of Nursing (DON) stated the SW had not informed DON there was a request made for nursing to be present at the care conference meeting and confirmed DON was not present at the care conference meeting that occurred on 4/22/24. 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: 555316 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 555316 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/31/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Copper Ridge Care Center 201 Hartnell Avenue Redding, CA 96002 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)