Inspection·August 4, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide a comfortable and sanitary environment for two of two residents (Residents 2 and 3) when:1. Resident 2's sheets were not changed, and Resident 3's urinals (a portable device used for urination) with urine were left hanging on the bed and on the bedside table, and2. A bag of soiled linen was left on the floor of another room.This failure resulted in Resident 2 and 3 not to have a sanitary and comfortable environment.Findings:On July 31, 2025, at 11:30 a.m., during an observation from the hallway, a strong urine odor was smelled coming from room [ROOM NUMBER]. Resident 2 was observed sitting in the wheelchair by bed 35-C, awake and alert, with unkempt hair. Resident 2's bed was not made and the mid section area of the fitted sheet was observed brownish in color. A urinal was observed hanging on the side rails of Resident 2's bed. Resident 3 was observed lying in bed, awake and alert, and well groomed. Three urinals (one empty and 2 with urine) along with a water pitcher without a cover, and a pack of chocolate powder were observed on top of Resident 3's bedside table. A urinal with urine was observed hanging on the side rails of Resident 3's bed.In a concurrent interview with Resident 2, he stated his sheets were not changed for several days. He stated he just used his urinal but most of the time the urinal was not emptied for several hours. He stated he used his urinal until it got full. He stated nobody emptied the urinal until the end of their shift.In a concurrent interview with Resident 3, he stated he had multiple urinals and used them all. He stated the urinals were not emptied until later in the day.On July 31, 2025, at 11:38 a.m., Licensed Vocational Nurse (LVN) 2 was observed to enter room [ROOM NUMBER] in response to the call light. LVN 2 was informed of the brownish color in the mid-section of the sheet on Resident 2's bed. LVN 2 was also informed of the three urinals, with the water pitcher without a cover, and the pack of chocolate powder that were on top of Resident 3's bedside table. In a concurrent interview with LVN 2, she stated Resident 2's bed should have been made, and the sheets should have been changed. She also stated the residents' urinals should have been emptied often when the CNAs or the staff made their rounds.On July 31, 2025, Resident 2's medical record was reviewed. Resident 2 was admitted to the facility on [DATE], with diagnoses which included cardiomyopathy (a disease of the heart muscle that caused the heart to have a harder time pumping blood). Resident 2's MDS (Minimum Data Set - an assessment tool) dated July 28,2025, indicated a BIMS (Brief Interview for Mental Status - a cognitive screening tool) score of 15 (cognitively intact).On July 31, 2025, Resident 3's medical record was reviewed. Resident 3 was admitted to the facility on [DATE], with diagnoses which included closed fracture of the pubis (a part of the pelvic bone) and acetabulum (a part of the pelvic bone). Resident 3's MDS dated [DATE], indicated a BIMS score of 15.On July 31, 2025, at 3:33 p.m., during an interview with the Assistant Director of Nursing (ADON), she stated the used urinals should not be placed on the resident's bedside table. She stated Resident 2's bed should have been made while the resident was sitting in the wheelchair, and the bed sheets changed. She stated the nurses should always check the residents' rooms for cleanliness.2. On August 1, 2025, at 10:08 a.m., a large black trash bag with linens was observed on the floor in room [ROOM NUMBER]. LVN 2 was asked to check on the large black trash bag with linens found on the floor. LVN 2 was observed to inspect the contents of the large black trash bag on the floor. In a concurrent interview with LVN 2, LVN 2 stated the large black trash bag on the floor contained soiled linens and clothes. LVN 3 entered the room and stated the soiled clothes belonged to a resident that was transferred to the hospital. LVN 3 stated the bag of soiled linens and clothes should not be on the floor and should have been placed in the hamper for (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555330 If continuation sheet Page 2 of 8 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 555330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverside Postacute Care 8781 Lakeview Avenue Riverside, CA 92509 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)

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete soiled linens and sent to laundry.On August 1, 2025, at 10:18 a.m., the ADON was interviewed. The ADON stated all soiled linens and/or resident clothes should be placed in the hamper for laundry. She stated the bag of soiled linens and resident clothes should not be on the floor.The facility policy and procedure titled, Resident Rooms, Cleaning, dated April 2018 indicated, .To promote the quality of life for residents by providing clean and sanitary living spaces.Once a day, the Nurse Assistant (or designee) must completely change the linens of each resident's bed. Event ID: Facility ID: 555330 If continuation sheet Page 3 of 8 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 555330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverside Postacute Care 8781 Lakeview Avenue Riverside, CA 92509 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)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed implement their policy and procedure when the facility failed to ensure an allegation of physical abuse was reported within two hours to the California Department of Public Health (CDPH - State Agency Licensing and Certification Program) for one resident (Resident 9) of three residents reviewed for abuse. The facility's abuse policy, dated June 2022, documented that the facility would report all alleged incidents of abuse to CDPH within two hours. On July 31, 2025, it was alleged that a facility staff member forcibly transferred Resident 9 to her wheelchair. The facility failed to report the allegation until over four hours after the incident, at 6:31 a.m. This failure had the potential to result in delaying resident protection and delaying the start of an investigation. Findings:On August 1, 2025, at 2:25 p.m., a telephone interview was conducted with Certified Nursing Assistant (CNA) 2. CNA 2 stated on July 31, 2025, at around 2:30 a.m., she was assigned as a sitter (a caregiver who provided direct supervision and support to patients requiring extra attention) to a resident in room [ROOM NUMBER]. CNA 2 stated she was seated next to the door and saw Resident 9 come out of room [ROOM NUMBER]. CNA 2 stated Licensed Vocational Nurse (LVN) 1 asked Resident 2 to go back to her room. CNA 2 stated she had to attend to the resident she was assigned and when she went back to her chair she saw CNA 3 grab Resident 9 and forcefully put Resident 9 in the wheelchair. CNA 2 stated she did not tell anybody what she saw at that time. CNA 2 stated on July 31, 2025, she texted the administrator (ADM) and informed him what she saw. CNA 2 stated the ADM instructed her to report the incident to the Registered Nurse (RN) on duty. On August 4, 2025, at 9:57 a.m., a telephone interview was conducted with the RN . The RN stated she was not aware of the allegation until the ADM called her on July 31, 2025, at 5 a.m. On August 4, 2025, at 10:47 a.m., the ADM was interviewed. He stated on July 31, 2025, at 4 a.m., he received a text message from CNA 2 that she witnessed CNA 3 rough handling Resident 9. The ADM told CNA 2 she had to report what she witnessed to the RN on duty. The faxed report that was sent to CDPH indicated the report was sent on July 31, 2025, at 6:31 a.m., four hours after the alleged abuse incident.The facility policy and procedure titled, Abuse and Neglect Prohibition Policy, dated June 2022, indicated, .Anyone who witnesses an incident of suspected abuse .is to tell the abuser to stop immediately and report the incident to his/her supervisor immediately .Reporting the alleged violation and investigation within required timeframes .Reporting of incidents.Upon receiving information concerning a report of suspected or alleged abuse, mistreatment, neglect, or exploitation the Administrator or designee will perform the following.All alleged violations-Immediately but not later than.2 hours-if the alleged violation involves abuse or results in serious bodily injury. Event ID: Facility ID: 555330 If continuation sheet Page 4 of 8 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 555330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverside Postacute Care 8781 Lakeview Avenue Riverside, CA 92509 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)

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review, the facility failed to provide care and treatment according to professional standards of practice when one of three residents (Resident 8) was administered Midodrine (a medication used to treat orthostatic hypotension - low blood pressure that occurs upon standing) when Resident 8's blood pressure (BP) was above the physician's ordered parameters.This failure had the potential for Resident 8 to experience hypertension (high blood pressure).Findings:On August 1, 2025, Resident 8's medical record was reviewed. Resident 8 was admitted to the facility on April18, 2025, with diagnoses which included orthostatic hypotension. The physician's order dated May 9, 2025, indicated, .Midodrine HCL (hydrochloride - a chemical compound) Oral Tablet 5 MG (Midodrine HCL) Give 1 tablet by mouth two times a day for HYPOTENSION HOLD FOR SBP (systolic blood pressure - top number) > (greater than) 110. The Medication Administration Record (MAR) indicated the medication Midodrine was administered on the following dates:- June 1, 2025, at 9 a.m., BP = 114/70; - June 2, 2025, at 9 a.m., BP = 128/88;- June 3, 2025, at 9 a.m., BP = 120/80;- June 6, 2025, at 9 a.m., BP = 116/64;- June 7, 2025, at 9 a.m., BP = 114/63;- June 8, 2025, at 5 p.m., BP = 130/67;- June 9, 2025, at 9 a.m., BP = 128/69 and at 5 p.m., BP = 128/69;- June 11, 2025, at 9 a.m., BP = 121/72 and at 5 p.m., BP = 108/67;June 13, 2025, at 9 a.m., BP = 118/80; - June 15, 2025, at 9 a.m., BP = 120/68; -June 19, 2025, at 9 a.m., BP = 116/85; - June 20,2025, at 5 p.m., BP = 116/82; - June 22, 2025, at 5 p.m., BP = 118/76; - June 25, 2025, at 9 a.m. BP = 137/82; - June 28, 2025, at 9 a.m., BP =120/63 and at 5 p.m., BP = 123/63; - June 30, 2025, at 5 p.m., BP = 132/76;- July 2, 2025, at 9 a.m., BP = 115/47 and at 5 p.m., BP = 117/67;- July 3, 2025, at 9 a.m., BP = 127/88 and at 5 p.m., BP = 128/80;- July 6, 2025, at 9 a.m., BP = 114/65;- July 7, 2025, at 9 a.m., BP = 113/67 and at 5 p.m., BP = 113/67- July 8, 2025, at 5 p.m., BP = 126/85; and- July 10, 2025, at 9 a.m., BP = 115/61.The physician's order dated July 12, 2025, indicated, .Midodrine HCL (hydrochloride - a chemical compound) Oral Tablet 5 MG (Midodrine HCL) Give 1 tablet by mouth two times a day for HYPOTENSION HOLD FOR SBP > 100. The MAR indicated the medication Midodrine was administered on:- July 17, 2025, at 5 p.m., BP = 104/80The physician's order dated July 20, 2025, indicated, .Midodrine HCL (hydrochloride - a chemical compound) Oral Tablet 5 MG (Midodrine HCL) Give 1 tablet by mouth two times a day for HYPOTENSION HOLD FOR SBP > 95. The MAR indicated the medication Midodrine was administered on the following dates:- July 20, 2025, at 5 p.m., BP = 117/71;- July 21, 2025, at 5 p.m., BP = 115/60; - July 24, 2025, at 9 a.m., BP = 111/68; - July 29, 2025, at 9 a.m., BP = 118/61 and at 5 p.m., BP = 103/65; and- July 30,/2025, at 9 a.m., BP = 103/65.On August 4, 2025, at 2:28 p.m., Resident 8 was observed in the hallway by his room, sitting in the wheelchair. Resident 8's family member was at the bedside. In a concurrent interview with Resident 8's family member, she stated she had a concern regarding a BP medication administered to Resident 8 that he was not supposed to receive. On August 4, 2025, at 2:40 p.m., a concurrent interview and record review of Resident 8's Medication Administration Record (MAR) was conducted with Licensed Vocational Nurse (LVN) 4. LVN 4 verified Resident 8 had an order for Midodrine 5 mg (a unit of measurement) tablet two times a day with a hold parameter for systolic blood pressure (the top number in the blood pressure) of greater than 95. LVN 4 stated he administered the Midodrine 5mg tablet to Resident 8 on July 29, 2025, at 5 p.m., with a blood pressure of 118/81. He stated the medication Midodrine should have been held.On August 8, 2025, at 2:48 p.m., during an interview with the Assistant Director of Nursing (ADON), she stated the licensed nurse should verify the medication against the physician's order. She stated the licensed nurse should read the instructions carefully prior to medication administration. She stated the medication Midodrine should have not been given to Resident 8 with the blood pressure of 118/81.The undated facility Residents Affected - Some (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555330 If continuation sheet Page 5 of 8 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 555330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverside Postacute Care 8781 Lakeview Avenue Riverside, CA 92509 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)

F 0684 Level of Harm - Minimal harm or potential for actual harm policy and procedure titled, MEDICATION ADMINISTRATION - GENERAL GUIDELINES, indicated, .Medications are administered as prescribed in accordance with good nursing principles and practices.Administration.Medications are administered in accordance with written orders of the attending physician. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555330 If continuation sheet Page 6 of 8 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 555330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverside Postacute Care 8781 Lakeview Avenue Riverside, CA 92509 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)

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide sufficient staffing to be able to provide care and services to the residents of the facility.This failure caused the delay in response to the resident's call lights being answered and had the potential for late provision of care or the care not being rendered at all.Findings:On July 31, 2025, at 10:03 a.m., Resident 1 was observed lying in bed, awake and alert. In a concurrent interview with Resident 1, she stated she received showers every Thursday. She stated she wanted to receive more showers, but the staff told her they were so busy. On July 31, 2025, at 11:30 a.m., Residents 2 and Resident 3 were observed in their room. Resident 2 was sitting in the wheelchair, with unkempt hair, awake and alert.Resident 2 stated, They do not have enough staff. He stated there were some nights when there were no (Certified Nursing Assistants) CNAs to answer the call lights. He stated, It took forever for the staff to come and answer the call light. Resident 3 was lying in bed, well-groomed, awake and alert. Resident 3 stated he did not receive a shower from July 28, 2025 until July 31, 2025. He stated his last shower was last week. Resident 3 stated he had a bed bath this week. Resident 3 also stated he wanted to have a shower. On August 1, 2025, at 2:25 p.m., a telephone interview was conducted with CNA 2. CNA 2 stated she worked extra shifts because the facility needed help with staffing. She stated the staff would call off and there were not enough staff to work. She stated the staff got very tired and burned out. CNA 2 stated a lot of staff quit because of the heavy workload. She also stated the residents complained of waiting longer times to have their briefs changed.On August 4, 2025, at 7:29 a.m., during a telephone interview with Licensed Vocational Nurse (LVN) 1, she stated they were always short of CNAs on the night shift. She stated not having enough staff affected the residents' care. She stated the residents were left unchanged for a long period of time, and she could smell the foul odor. She stated the cognitively intact residents have already complained to the management about staffing issues. LVN 1 stated there were night shifts when there were only four to five CNAs working.On August 4, 2025, at 9:28 a.m., the Administrator (ADM) was interviewed. The ADM stated it was a challenge to staff the night shift. He stated the facility used a grid and followed the grid for the number of staff scheduled to work. He stated the facility met the number of required hours, but the night shift CNAs were used as sitters (a caregiver who provides direct observation and monitoring to residents, ensuring their safety and well-being), and the facility did not have the extra staff to assign as sitters.On August 4, 2025, at 9:41 a.m., Resident 4 was observed ambulating in the hallway using a rollator (a walker with wheels with a built-in seat for resting). Resident 4 was awake and alert. In a concurrent interview with Resident 4, he stated, The night shift staffing was bad. He stated sometimes, it would take three hours to get ice water. Resident 4 stated he would just get up and go to the nurse's station to ask for ice water instead of waiting since he was able to get up. He stated he felt sorry for the residents who were not able to call or get out of bed.On August 4, 2025, at 9:57 a.m., during a telephone interview with the Registered Nurse (RN), she stated most of the time, the night shift was short staffed for CNAs. She stated sometimes there were only four CNAs working for 165 residents. The RN stated the resident care was diminished. On August 4, 2025, at 10;10 a.m., Resident 5 was observed lying in bed, awake and alert. Resident 5's room smelled of urine. In a concurrent interview with Resident 5, he stated staffing was always a problem in the facility, especially at night. He stated he had problems with his prostate (a male reproductive gland) and was incontinent (lack of voluntary control) of urine. Resident 5 stated he had to wait for at least two hours before he could get changed during the night. Resident 5 also stated he was given (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555330 If continuation sheet Page 7 of 8 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 555330 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Riverside Postacute Care 8781 Lakeview Avenue Riverside, CA 92509 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)

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete showers occasionally and received mostly bed baths. He stated he thought he should at least receive a shower once a week. On August 4, 2025, at 12 p.m., during an interview with the Scheduler, she stated she was also an LVN and had worked as a charge nurse and did medication pass within the first month of her hire on several shifts. She stated she had worked day shift, evening shift, and night shift. She stated the staff worked hard to get through the night. She stated the night shifts were short with two to three CNAs. The Scheduler stated the facility had a staffing grid that was used as a guide in scheduling the number of staff needed for each shift based on the facility census. A concurrent review of the CNA night shift staffing schedule was conducted with the Scheduler for the following dates:- June 7, 2025, 10 CNAs scheduled, 10 CNAs work, census of 169;- June 8, 2025, 6 CNAs scheduled, 9 CNAs worked, census of 169;- June 18, 2025, 13 CNAs scheduled, 9 CNAs worked, copy of census not available;- June 21, 2025,12 CNAs scheduled, 12 CNAs worked, copy of census not available;- July 4, 2025, 9 CNAs scheduled, 10 CNAs worked, census of 169;- July 5, 2025, 9 CNAs scheduled, 10 CNAs worked, census of 168;- July 6, 2025, 11 CNAs scheduled, 10 CNAs worked, census of 170.A review of the facility staffing grid for CNAs was conducted with the Scheduler. The facility grid indicated there should be 14 CNAs scheduled on the night shift for a facility census of 167 to 170 residents. On August 4, 2025, at 12:30 p.m., Resident 6 was observed lying in bed, awake, alert and watching TV. In a concurrent interview with Resident 6, she stated the facility was not properly staffed, especially during the night. She stated the CNAs were utilized as sitters. She stated there were not enough staff to answer call lights and assist the other residents.Resident 1's medical record was reviewed. Resident 1 was admitted to the facility on [DATE], with diagnoses which included muscle weakness. Resident 1's Minimum Data Set (an assessment tool) dated June 21, 2025, indicated a BIMS (Brief Interview for Mental Status - a cognitive assessment) score of 14 (cognitively intact).Resident 2's medical record was reviewed. Resident 2 was admitted to the facility on [DATE], with diagnoses which included cardiomyopathy (a disease of the heart muscle that caused the heart to have a harder time pumping blood). Resident 2's MDS dated [DATE], indicated a BIMS score of 15 (cognitively intact). Resident 3's medical record was reviewed. Resident 3 was admitted to the facility on [DATE], with diagnoses which included closed fracture of the pubis (a part of the pelvic bone) and acetabulum (a part of the pelvic bone). Resident 3's MDS dated [DATE], indicated a BIMS score of 15. Resident 4's record was reviewed. Resident 4 was admitted to the facility on [DATE], with diagnoses which included alcoholic cirrhosis of the liver (chronic liver damage). Resident 4's MDS dated [DATE], indicated a BIMS score of 15.Resident 5's record was reviewed. Resident 5 was admitted to the facility on [DATE], with diagnoses which included benign prostatic hyperplasia (enlarged prostate). Resident 5's MDS dated [DATE], indicated a BIMS score of 15.Resident 6's record was reviewed. Resident 6 was admitted to the facility on [DATE], with diagnoses of Diabetes (high blood sugar) and hypertension (high blood pressure). Resident 6's MDS dated [DATE], indicated a BIMS score of 14.The Facility assessment dated [DATE], indicated, .Staffing Plan.Position Based on Census.Total Number of Staff.Certified Nursing Assistant.Days.22.Evening.15.Nights.12. Event ID: Facility ID: 555330 If continuation sheet Page 8 of 8