Health inspection·January 23, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure resident medical records were kept private for a census of 98, when the computer containing resident medical records was exposed to the public. Residents Affected - Few This failure violated the residents' medical records confidentiality. Findings: During a concurrent observation and interview on 1/23/24 at 3:40 p.m., at nursing station 1 with Licensed Nurse 1 (LN 1), the computer with residents' name and medications list were exposed to the public. LN 1 confirmed the resident record should have been hidden from the public. There were other staff and family members in the nursing station. During an interview on 1/23/24 at 4:49 p.m., the Director of Nursing (DON) confirmed the resident record should have been locked, and nurses should have used the lock screen on the computer. Review of the facility's policy titled, Confidentiality of Information and Personal Privacy, dated 5/26/21, indicated, The facility will safeguard the personal privacy and confidentiality of all resident personal and medical records. Page 1 of 2 555450 555450 01/23/2024 American River Center 3900 Garfield Avenue Carmichael, CA 95608

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Based on observation, interview, and record review, the facility failed to ensure medications were stored locked and secured for a census of 98, when a medication cart was unlocked and keys were left unattended. This failure had the potential for medication misuse and drug diversion. Findings: During a concurrent observation and interview on 1/23/24 at 3:40 p.m. at nursing station 1 with Licensed Nurse 1 (LN 1), medication cart 1 was left unlocked and unattended. The medication cart keys were observed on top of the medication cart and unattended. LN 1 confirmed the medication cart should have been locked and confirmed the keys should have been inside the LN's pocket. During an interview on 1/23/24 at 4:49 p.m., the Director of Nursing (DON) confirmed the medication cart should have been locked and the keys should have been secured in the nurse's pocket. Review of the facility's policy titled, Storage of Medications, dated 11/2020, indicated, The facility stores all drugs and biological in a safe, secure, and orderly manner . Drugs and biological used in the facility are stored in locked compartments . 555450 Page 2 of 2