Health inspection·February 27, 2025

F 0660 Plan the resident's discharge to meet the resident's goals and needs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure one of three sampled residents (Resident 1) discharge planning process included, providing Resident 1 and Resident 1 ' s Responsible Party (RP) 1 with information including services and quality measures (quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems) of the accepting skilled nursing facility Resident 1 was transferred to. Residents Affected - Few This deficient practice had potential for decreased quality of care, decreased quality of life and continuity of care. Findings: During a review of Resident 1 ' s admission Record (facesheet) dated 2/16/2025, the admission Record indicated, Resident 1 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy (a change in how your brain works due to an underlying condition), pneumonia (an infection/inflammation in the lungs), cerebral infarction (CVA-stroke, loss of blood flow to a part of the brain), dementia (a progressive state of decline in mental abilities) and alcohol dependence. During a review of Resident 1 ' s Minimum Data Set (MDS - a standardized assessment and care planning tool) dated 2/18/2025, the MDS indicated, Resident 1 ' s cognition (ability to think and make decisions) was severely impaired. The MDS further indicated that Resident 1 required maximum assistance by staff for oral hygiene, toileting hygiene, showering, upper body dressing, lower body dressing and putting on/taking off footwear. During a review of Resident 1 ' s Social Services Progress note dated 2/18/2025, the note indicated, Resident 1 verbalized Resident 1 wanted to be transferred to another facility. Social Services assisted resident in finding a new facility .Social Services informed Resident 1 ' s RP (RP 1) of Resident 1 wishes, Resident 1 ' s RP (RP 1) was in agreement. During an interview on 2/26/2025 at 9:30 a.m., with RP 1, RP 1 stated that on 2/18/2025, RP 1 received a phone call from the Social Services Director (SSD) who stated that Resident 1's placement in the facility was not appropriate because Resident 1 was too calm. RP 1 stated around 9 p.m. on 2/18/2025 RP 1 received a call from the new skilled nursing facility that Resident 1 had been admitted . During an interview on 2/27/2025 at 11:05 a.m. with the SSD, the SSD stated that on 2/18/2025, the SSD met with Resident 1, Resident 1 requested a transfer to another facility. The SSD stated that the SSD found a new facility for Resident 1. The SSD informed Resident 1 and RP 1 regarding the transfer to the new facility and provided the address to RP 1. The SSD stated that the SSD did not provide Page 1 of 2 555574 555574 02/27/2025 Stoney Point Healthcare Center 21820 Craggy View St. Chatsworth, CA 91311

F 0660 any further information regarding the new facility to RP 1. Level of Harm - Minimal harm or potential for actual harm During an interview on 2/27/2025 at 1:00 p.m. with the Director of Nursing (DON), the DON stated the correct process when transferring a resident to a new facility, the resident and the resident ' s RP, if applicable, should be provided information including services provided at the new facility, as well as quality measures of the new skilled nursing facility. Residents Affected - Few During a review of the facility policy and procedure (P&P) titled Discharging the Resident with a revision date of 1/21/2025 indicated, the purpose of this procedure is to provide guidelines for the discharge process .If discharging the resident to another long-term care facility tell the resident: a. Where the new facility is located. b. How large the facility is, what services it offers, what it looks like. c. Any information you can about the facility. d. Who will be providing the resident ' s care. e. That his or her family and visitors will be informed of the discharge and where the resident will be living. f. Why the discharge is necessary. 555574 Page 2 of 2