F 0573
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Let each resident or the resident's legal representative access or purchase copies of all the resident's
records.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to provide the resident's medical records within the required
48-hour time frame for one of four sampled residents (Resident 7).
This failure had the potential to deny the resident representative access to review records and delay critical
legal or medical decision making for the resident.
Findings:
On February 4, 2025, at 4:05 p.m., a telephone interview was conducted with Resident 7's legal
representative. The legal representative stated, a valid authorization and request for Resident 7's medical
records were sent to the facility on January 16, 2025.
A review of Resident 7's medical records indicated Resident 7 was admitted to the facility on [DATE], with
diagnoses which included pressure ulcer (damage to an area of the skin) and diabetes mellitus (high blood
sugar level).
A review of the Minimum Data Set (an assessment tool) dated April 26, 2024, indicated no cognitive
impairment.
Further review of Resident 7's medical records indicated that Resident 7 was discharged home on July 8,
2024.
On February 5, 2025, at 1:55 p.m., during an interview with the Medical Record Director (MRD), the MRD
stated the residents could request their medical records at any time. The MRD stated a resident had to
provide authorization for family members to request their medical records on their behalf. The MRD stated,
the medical record requests were required to be processed and fulfilled within 24 to 48 hours. The MRD
stated, he recalled receiving a medical record request from a legal representative on behalf of Resident 7
on January 16, 2025.
A review of the letter sent by Resident 7's legal representative, dated January 16, 2025, indicated that
Resident 7 had authorized the release of her medical information on January 8, 2025. The legal
representative submitted a written request to the facility for the release of Resident 7's records on January
16, 2025.
On February 5, 2025, at 2:25 p.m., during a follow up interview and record review with the MRD, the MRD
stated he received the medical record request for Resident 7 on January 16, 2025. The MRD
(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:
555566
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
555566
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/06/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Corona Post Acute Center
2600 South Main Street
Corona, CA 92882
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)
F 0573
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
stated, he instructed the Medical Record Assistant (MRA) to forward the request to facility's corporate legal
team via e-mail (electronic mail) the same day (January 16, 2025). The MRD further stated he did not hear
back from the legal team until January 22, 2025. He further stated, he should have followed facility's policy
and processed the request within the 48 hours.
On February 6, 2025, at 5:15 p.m., during an interview with the Administrator (ADM), the ADM stated when
the facility received medical record requests from attorneys, the facility's legal team assisted in reviewing
the requests. The ADM stated, the facility's protocol required medical record to be provided within
approximately 48 hours. The ADM further stated Resident 7's legal representative received the requested
records on February 5, 2025, which was 14 business days after the facility initially received the request on
January 16, 2025.
A review of the facility 's policy titled, Release of Information, dated 2001, indicated, . residents may initiate
a request to release such information contained in his/her records and charts to anyone he/she wishes
.such requests will be honored only upon the receipt of a written, signed, and dated request from the
resident or representative (sponsor) .A resident may have access to his or her records within 48 hours
(excluding weekends or holidays) of the resident 's written or oral request .
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
555566
If continuation sheet
Page 2 of 2