Health inspection·September 13, 2024

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Potential for minimal harm Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the privacy was provided during care for one of five sampled residents (Resident 3). Residents Affected - Some * Privacy was not provided for Resident 3 during the ADL care. * Resident 3's medical information was left exposed twice on a computer monitor screen at the nurses' station. These failures had the potential to violate the resident's right to privacy. Findings: Review of the facility's P&P titled Patient Privacy revised on 12/19/22, showed the facility will protect the resident's privacy and confidentiality of all medical records. The P&P also showed to protect the resident's physical privacy during transport and skilled therapy treatment. Review of the facility's P&P titled Promoting/Maintaining Resident Dignity revised on 12/19/22, showed it is the practice of this facility to protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality. Compliance guidelines include: maintain resident privacy. 1. On 9/13/24 at 0915 hours, an observation was conducted outside of Room A along the hallway. Room A's door was wide open. CNA 1 was observed providing ADL care to Resident 3. Resident 3 was seated on a shower chair in the middle of Room A and covered with blanket from the neck to the waist and genitals. However, Resident 3's bilateral legs and buttocks were exposed to other residents, staff and/or visitors walking down the hallway of Room A. On 9/13/24 at 0925 hours, an interview was conducted with the QA RN. The QA RN verified CNA 1 should have closed Resident 3's privacy curtain all the way and closed the door. On 9/13/24 at 0939 hours, an interview was conducted with CNA 1. CNA 1 acknowledged she did not close the privacy curtain or the door to protect Resident 3's privacy and verified Resident 3 was exposed. On 9/13/24 at 1548 hours, an interview was conducted with the DON. The DON verified CNA 1 should have closed the door and closed the privacy curtain to secure Resident 3's privacy while being prepared for shower. (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 3 Event ID: 555536 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 555536 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/13/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park Regency Care Center 1770 W. LA Habra Blvd. LA Habra, CA 90631 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)