Health inspection·October 23, 2025

F 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to ensure appropriate dialysis (the process of removing excess water and cleaning the blood) treatment was acquired for one of three residents (Resident 1) for 2 days.This failure resulted in a clinically compromised resident Resident 1 not receiving dialysis as ordered by the physician and was sent out to acute hospital for treatment and placing health and safety at risk. Findings:During review of Residents 1's admission Record (general demographics information), the document indicated Resident 1 was admitted to the facility on [DATE], with diagnoses which include End Stage Renal Disease (kidneys have severe damage) dependent on Renal Dialysis, acute respiratory failure (fluid prevents lungs filling with air), hypertension (high blood pressure).During a record review on October 23, 2025, at 11:30AM, Resident 1's medical records, reviewed and verified the following:1. History and Physical dated October 22, 2025: Patient is not able to make own decisions.2. Order: June 04, 2025, 18:48: Dialysis Care Center, Dialysis IV access Right chest IJ one time a day every Monday, Tuesday, Wednesday, Thursday, Friday for Dialysis.3. admission Summary Note October 21, 2025, 1548: Dialysis resident and dialysis on Mondays, Wednesdays, and Fridays. Hemodialysis port at right upper chest.4. Order October 21, 2025: Dialysis Care center Dialysis IV Access right chest IJ every shift for Monday, Wednesday and Friday.Start 10/24/25. (Resident 1 was readmitted [DATE], missed dialysis October 22, 2025, and October 24, 2025)5. Spectrum Dialysis: Consent to home hemodialysis treatment dated/signed by resident son 10.22.25.During an interview on October 23, 2025, at 11:20 AM, with the Assistant Director of Nursing (ADON), ADON stated, our admissions, consent needs to be done first before the resident gets here for Dialysis. Prior to residents being transferred back from the acute hospital, so for the residents at [acute hospital], there are labs to be drawn up and family consents before admitting the resident back. The dialysis does have an office here in our facility.During an interview on October 23, 2025, at 12:36 PM, with the admission Coordinator Marketing Director (ACMD), ACMD stated, I submitted to [dialysis company] the documents for this resident. I was not made aware that [dialysis company] had discharged (D/C) him off their dialysis schedule. He was D/C completely from the facility, he was at acute over 30 days, there was no bed hold. It should have been my responsibility to get consent from family for his Dialysis. The Dialysis coordinator told me we need to be all paperwork because he was no longer in their system. I did not know we had to do all the paperwork over again. He should have been a new admission. It was my responsibility to follow up and I dropped the ball; I take full responsibility.During an interview on October 23, 2025, at 12:40 PM, with the Director of Nursing (DON), DON stated, It is a third-party Dialysis, they usually get the consents. I do understand that he is our responsibility, and it should have been our responsibility to make sure the authorization and documents were done. He missed Wednesday because we still did not have consent from the son, we called the doctor he ordered labs and Friday we sent him out because we did not have consent.During a review of the facility's policy and procedure Residents Affected - Few (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 2 Event ID: 555435 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 555435 B. Wing A. Building (X3) DATE SURVEY COMPLETED 10/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Canyons Post-Acute 1350 Reche Canyon Rd Colton, CA 92324 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)