Health inspection·January 16, 2025

F 0912 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure residents' room measured at least 80 square (sq) feet (ft) per resident in 16 (Rooms 101 - 104 and Rooms 110 - 121) of 29 resident rooms in the facility. Findings included: The Client Accommodations Analysis, dated 01/13/2025, revealed the following measurements: In room [ROOM NUMBER], there was 76 sq ft for each resident. In room [ROOM NUMBER], there was 76 sq ft for each resident. In room [ROOM NUMBER], there was 77 sq ft for each resident. In room [ROOM NUMBER], there was 75 sq ft for each resident. In room [ROOM NUMBER], there was 71 sq ft for each resident. In room [ROOM NUMBER], there was 73 sq ft for each resident. In room [ROOM NUMBER], there was 75 sq ft for each resident. Page 1 of 3 555485 555485 01/16/2025 Kings Healthcare & Wellness Center LP 851 Leslie Lane Hanford, CA 93230

F 0912 - Level of Harm - Minimal harm or potential for actual harm In room [ROOM NUMBER], there was 76 sq ft for each resident. - Residents Affected - Some In room [ROOM NUMBER], there was 75 sq ft for each resident. In room [ROOM NUMBER], there was 76 sq ft for each resident. In room [ROOM NUMBER], there was 75 sq ft for each resident. In room [ROOM NUMBER], there was 76 sq ft for each resident. In room [ROOM NUMBER], there was 75 sq ft for each resident. In room [ROOM NUMBER], there was 76 sq ft for each resident. In room [ROOM NUMBER], there was 75 sq ft for each resident. In room [ROOM NUMBER], there was 77 sq ft for each resident. During the initial tour of the facility on 01/13/2025 at 10:38 AM, no residents voiced any concerns regarding the size of their room. During the Resident Council meeting on 01/15/2025 at 10:30 AM, Resident #44 stated the room sizes were small, but it did not affect the care they received. Resident #11 stated it was tight in their room, but the staff made it work. An admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/09/2024, revealed Resident #344 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. A quarterly MDS, with an ARD of 11/04/2024, revealed Resident #11 had a BIMS score of 13, which indicated the resident had intact cognition. During an interview on 01/15/2025 at 12:25 PM, Certified Nurse Aide (CNA) #1 stated room size did not affect the care she provided to the residents. 555485 Page 2 of 3 555485 01/16/2025 Kings Healthcare & Wellness Center LP 851 Leslie Lane Hanford, CA 93230

F 0912 Level of Harm - Minimal harm or potential for actual harm During an interview on 01/15/2025 at 2:30 PM, CNA #2 stated resident rooms were not the size they were supposed to be, but she could provide the care the residents needed without any issue. During an interview on 01/15/2025 at 2:34 PM, the Assistant Administrator stated the facility did not have policy for room size. Residents Affected - Some During an interview on 01/15/2025 at 2:36 PM, Housekeeping Service Worker #3 stated there had been no issues with the room sizes affecting care and the room measurements were all accurate. During an interview on 01/16/2024 at 8:57 AM, the Director of Nursing stated no one had ever had issues with the room size affecting care. Recommend waiver continue in effect. Don [NAME], HFEIIS 1/27/25 ---------------------------------------------------------Health Facilities Evaluator Supervisor Date Request waiver continue in effect. ----------------------------------------------------------Administrator Signature Date 555485 Page 3 of 3