Health inspection·March 26, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure the resident's rights were respected, for one of four residents reviewed (Resident 1), when the facility cordless phone was not accessible for private conversations. This failure increased the potential to negatively affect Resident 1's psychosocial well-being. Findings: On March 26, 2024, at 11:36 a.m., an unannounced visit was conducted at the facility for two complaint investigations. On March 26, 2024, at 12:04 p.m., Resident 1 was observed lying in bed on his cell phone. During a concurrent interview, Resident 1 stated his cell phone no longer worked to receive phone calls, but he continued to use it for internet access. Resident 1 stated he needed to use the facility phone to make and receive phone calls. Resident 1 stated the facility had a cordless phone, but it was not available for use. Resident 1 stated he had weekly phone calls with his doctor, and he was not able to receive the calls because staff stated the cordless phone did not work, or staff do not bring it to his room. Resident 1 stated staff told him he needed to go to the nursing station to receive calls. Resident 1 stated it was hard for him to get out of bed and he did not want to have personal conversations in the nursing station. On March 26, 2024, Resident 1's medical record was reviewed. Resident 1 was admitted to the facility on [DATE], and re-admitted on [DATE], with diagnoses which included chronic obstructive pulmonary disease (COPD- a lung condition that makes breathing difficult), diabetes mellitus (abnormal sugar in the blood), and major depression. Resident 1's physician History and Physical dated January 31, 2024, indicated Resident 1 had capacity to understand and make decisions. On March 26, 2024, at 1:14 p.m., an interview was conducted with Certified Nursing Assistant (CNA) 1. CNA 1 stated when a resident received a call on the facility line, the cordless phone was brought to the resident's room. On March 26, 2024, at 1:37 p.m., an interview was conducted with the Social Service Director (SSD). The SSD stated when a resident did not have a personal cell phone the facility cordless phone was used. The SSD stated the facility cordless phone had been broken for the past couple of days. The SSD stated when a resident received a call, the resident would have needed to go to the nursing station. The SSD stated Resident 1's psychologist sent an email Friday March 22, 2024, that he had been Page 1 of 2 555319 555319 03/26/2024 Sunrise Post Acute 3476 W. Wilson St. Banning, CA 92220

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few unable to contact Resident 1 via phone call. During a concurrent review of the email dated March 22, 2024, at 1:28 p.m., indicated, .(name of Resident 1) has a weekly standing appointment on Mondays at 1 PM .staff needs to answer the call (I have called several times, but the calls were disconnected. I cannot speak to the client for several reasons that [facility name] staff has. I have been told by [facility name] staff, The phone is missing, a patient needs to get out of bed to use landline etc. (sic) Numerous other excuses or no one would pick up the calls that I placed). I am concerned . On March 26, 2024, at 1:57 p.m., the facility cordless phone was observed in the nursing station. During a concurrent interview with the Director of Nursing (DON) the DON stated the facility cordless phone was broken for the past three days. The DON stated the facility cordless phone was replaced this morning (Tuesday March 26). On March 26, 2024, at 2:05 p.m., a follow up interview was conducted with the SSD. The SSD stated the facility cordless phone had been replaced today (Tuesday March 26). The SSD stated the phone in the nursing station would not have had privacy for Resident 1 to conduct his phone meeting with his doctor. The SSD stated Resident 1 should have been able to receive his phone calls privately. On March 26, 2024, at 2:35 p.m., an interview was conducted with Licensed Vocational Nurse (LVN) 1. LVN 1 stated it was important for residents to have access to the phone to receive and make calls. LVN 1 stated the facility had two phones in the hallways and one in the nursing station, none were private areas. LVN 1 stated the facility had a cordless phone for resident use as well, but it had not been working the past couple of days. LVN 1 stated Resident 1 used the facility phone for phone calls. LVN 1 stated Resident 1 needed access to the facility cordless phone to have private conversations. On March 26, 2024, at 2:50 p.m., a follow up interview was conducted with the DON. The DON stated it was the residents' rights to have access to a phone and have private conversations. The DON stated Resident 1 used the facility phone to receive and make phone calls. The DON stated Resident 1 did receive a call recently, and the caller was told the facility cordless phone was not working. The DON stated staff offered to get Resident 1 up to the other phones available, but he refused. The DON stated Resident 1 would not have had privacy to conduct his conversation on the other phones. The DON stated Resident 1 was entitled to have private phone conversations, but he could not when the cordless phone was not available. Review of the facility document titled, Resident Rights revised December 2016, indicated, .Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to .communication with and access to people and services, both inside and outside the facility .privacy and confidentiality . Review of the facility document titled, Telephones, Resident Use of revised October 2023, indicated, .Residents are provided access to telephones .telephones are available to residents to make and receive private telephone calls .telephones at the nursing station are reserved for staff use, unless no other alternative is available .Telephones are located in areas that offer privacy .Resident telephones are located in the following areas .Front Hallway .Back Hallway .Nurses Station Cordless Phone . 555319 Page 2 of 2