Health inspection·July 11, 2024

F 0806 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to complete the food preference assessment within 48 hours as per facility policy and protocol for four of five sampled residents (Resident 1,2,3 and 4). This deficient practice had the potential to result in decreased meal intake which can then lead to weight loss. Findings: 1. A review of Resident 1 ' s admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included Charcot ' s joint (a destructive joint disorder initiated by trauma), left ankle and foot (progressive musculoskeletal condition that affects the joints) and diabetes mellitus (elevated blood sugar). A review of Resident 1's Minimum Data Set (MDS- a standardized assessment and screening tool) dated 5/6/2024, indicated that Resident 1 has intact cognition (mental process of thinking and understanding). A review of Resident 1 Food Preference Interview indicated that the interview was conducted on 7/11/2024. 2. A review of Resident 2 ' s admission Record indicated Resident 2 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction (disrupted blood flow to the brain) and right hemiplegia (loss of muscle function on one side of the body). A review of Resident 2 ' s MDS dated [DATE], indicated Resident 2 has mild cognitive impairment. A review of Resident 2 ' s Food Preference Interview indicated that the interview was conducted on 7/11/2024. 3. A review of Resident 3 ' s admission Record indicated Resident 3 was admitted to the facility on [DATE] with diagnoses that included displaced intertrochanteric fracture of the left femur (a break in the left thigh bone) and depression (a constant feeling of sadness). A review of Resident 3's MDS dated [DATE], indicated the resident has intact cognition. A review of Resident 3 ' s Food Preference Interview indicated that the interview was conducted on Page 1 of 2 555716 555716 07/11/2024 Park View Nursing and Subacute 6740 Wilbur Ave Opco, LLC Reseda, CA 91335

F 0806 7/11/2024. Level of Harm - Minimal harm or potential for actual harm 4. A review of Resident 4 ' s admission record indicated Resident 4 was admitted to the facility on [DATE], with diagnoses that included right knee osteoarthritis (joint breakdown overtime) and diabetes mellitus (uncontrolled elevated levels of sugar in the blood). Residents Affected - Some A review of Resident 4's MDS dated [DATE], indicated Resident 4 has intact cognition. A review of Resident 4 Food Preference Interview indicated that the interview was conducted on 7/11/2024. During concurrent interview and record review with the Dietary Supervisor (DS) on 7/11/2024 at 2:45 p.m., the DS reviewed Resident 1 ,2,3 and 4 ' s Food Preference interview dated 7/11/2024. DS stated that the Food Preference interview for Resident 1,2,3 and 4 were not done within 48 hours of admission for each resident. DS stated that Resident 1,2,3 and 4 ' s Food Preferences interview should have been done within 48 hours of admission since the residents might be served food that Resident 1,2,3 and 4 do not want to eat which has a potential for Resident 1,2,3 and 4 to lose weight. During an interview with the Dietician (DM) on 7/11/2024 at 2:55 p.m., the DM stated that all resident ' s food preferences interviews should be done within 48 hours of admission. The DM stated that by not completing a resident ' s food preference interview within 48 hours of admission, the resident is at increased risk for decreased meal intake which can then possibly lead to weight loss. A review of the facility's policy and procedure titled Dining and Food Preferences reviewed July 2024, indicated that individual dining, food, and beverage preferences are identified for all residents. The Dining Services Director, or designee, will interview the resident or resident representative to complete a Food Preferences Interview within 48 hours of admission. 555716 Page 2 of 2