Health inspection·May 16, 2023

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. Based on interview and record review, the facility failed to treat one of two sampled residents (Resident 1) in a dignified manner when a Certified Nurse Assistant (CNA 1) responded to Resident 1's request for care with a statement that was rude, inconsiderate and disrespectful. This facility failure resulted in emotional distress for Resident 1 when Resident 1 reported she experienced feeling sad and had the potential to result in other residents not being treated with dignity and respect. Findings: During a review of facility policy and procedure (P&P) titled Residents Rights dated 11/2020, the P&P indicated, The resident has the right to be treated with consideration, respect, and full recognition of his or her dignity and individuality. During an interview on 4/20/2023, at 12:30 p.m., with Resident 1's daughter, daughter stated, When I arrived at the facility on April, 19 (4/19/23), my mom's roommate (Resident 2) told me that the nurse was rude the previous night (4/19/23). She (Resident 2) explained to me that my mom was screaming for help and the nurse (CNA 1) told her to stop screaming. When my mom continued to scream, the nurse (CNA 1) told her if she (Resident 1) didn't listen to her, then she (CNA 1) was not going to listen to her (Resident 1). My mom told me what happened, and that it made her upset. My mom (Resident 1) was upset the whole day. I reported the incident to the Administrator on 4/19/23 at 18:30. During an interview on 4/20/2023, at 12:30 p.m., with Resident 1, Resident 1 stated, I was screaming because I needed help. The nurse came in and told me to stop screaming. The nurse told me if I didn't listen to her and stop then she wouldn't listen to me. She was rude to me and made me feel sad. During a review of Resident 1's medical record on 4/20/23, the medial record indicated, Resident 1 requires two-person assist for transfers, toileting and ADL's (Activities of daily living). Resident is Spanish speaking, alert, oriented and able to make needs known. During an interview on 4/20/23, at 13:42 p.m., with the Director of Staff Development (DSD), DSD stated, The nurse should never speak to a resident like she (CNA 1) spoke to her (Resident 1). It is not acceptable no matter what. During an interview on 4/20/23, at 14:00 p.m., with the Director of Nurses (DON), DON stated, We are currently investigating the incident and the nurse has been suspended pending the investigation. This is a customer service issue that must be addressed. IDT met and determined this was poor (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: 555458 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 555458 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/16/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Glenwood Care Center 1300 North C Street Oxnard, CA 93030 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)