Health inspection·May 16, 2024

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to provide care in a manner that maintained or enhanced resident's dignity and respect in full recognition of his individuality for one of three sampled residents (Resident 1) when LVN 1 verbally threatened Resident 1. This deficient practice resulted in Resident 1 feeling upset and had the potential to negatively affect his psychosocial well-being. Findings: A review of Resident 1's admission Record, indicated Resident 1 was admitted to the facility on [DATE] with diagnoses of nontraumatic intracerebral hemorrhage (bleeding in the brain caused by the rupture of a damaged blood vessel in the head), type 2 diabetes mellitus ([DM] a chronic condition that affects the way the body processes blood sugar) and epilepsy (a brain condition that causes recurring seizures). A review of Resident 1's History and Physical (H&P), dated 5/1/2024, indicated Resident 1 had the capacity to understand and make decisions. A review of Resident 1's Minimum Data Set ([MDS], an assessment and care screening tool), dated 5/6/2024, indicated Resident 1 required total assistance in toileting hygiene and lower and upper body dressing. A review of Grievance Report, dated 5/8/2024, the Grievance Report indicated, Resident 1 reported that Licensed Vocational Nurse 1 (LVN 1) verbally threatened him on 5/7/2024. During an interview on 5/15/2024 at 12:30 p.m., with Resident 1 in his room, Resident 1 stated LVN 1 went to his room and offered his medicine and stated, no matter what, I still get paid, whether you take your medicine or not. Resident 1 stated he felt terrified and upset hearing that comment made by LVN 1. Resident 1 stated he deserved to be respected as an individual and considering as resident in this facility. LVN 1 stated he did not say anything to LVN 1 that would made him upset. During an interview on 5/15/2024 at 1:20 p.m., with the Social Service Director (SSD), SSD stated LVN 1's behavior was unprofessional, unacceptable, and violated Resident 1's dignity. During an interview on 5/15/2024 at 4:35 p.m., with the Director of Nursing (DON), the DON stated LVN 1 did not have any right to say anything that could hurt Resident 1 feelings whether direct or Page 1 of 2 555719 555719 05/16/2024 Imperial Crest Health Care Center 11834 Inglewood Avenue Hawthorne, CA 90250

F 0550 indirect. Level of Harm - Minimal harm or potential for actual harm During an interview on 5/16/2024 at 10 a.m., with the Administrator (ADM), the ADM stated he spoke with LVN 1 and confirmed that LVN 1 told Resident 1 No matter what, I still get paid, whether you take your medicine or not outside the room. The ADM stated it was a non-professional comment and certainly not a professional etiquette. The ADM stated it was facility's policy to treat all residents with respect and dignity. Residents Affected - Few A review of the facility's Policy and Procedure (P&P) titled Dignity, dated 2/202, indicated, Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem. A review of facility's undated P&P titled, Residents Rights, indicated, The facility shall treat each resident with consideration, respect, and full recognition of his/her dignity and individuality. 555719 Page 2 of 2