Health inspection·September 29, 2023

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 ensure the representative of one of three residents (Resident 1) received copies of medical records within 48 hours from requested date. This failure resulted in Resident 1's representative (RR) not receiving requested documents for 20 days. Findings: During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE]. During a review of the letter requesting medical records, dated 8/16/23, the letter, addressed to the facility's Custodian of Records, indicated a request for Resident 1's medical records to be sent through the following methods: - Contacting the requesting office at their phone number when medical records are located to schedule a copy appointment. - Emailing the records to the requesting office's email address. - Furnishing a copy via facsimile to the requesting office's fax number. - Mailing a copy of the records to the requesting office's mailing address. During a concurrent interview and document review with Medical Records Director (MRD) on 9/29/23 at 8:35 a.m., the letter requesting for medical records was reviewed. MRD stated she received and signed the record request on 8/16/23. On 9/6/23 at 3:51 p.m., MRD sent an email to RR that requested documents were already sent by email. On 9/7/23 at 10:41 a.m., RR sent an email to MRD to resend the documents as the documents had not been received. On 9/7/23 at 5:15 p.m., MRD sent an email to RR that she resent the requested records. On 9/14/23 at 10:18 a.m., MRD sent RR an email that amended declaration of requested records was sent. During an interview with MRD on 9/29/23 at 9:54 a.m., MRD stated the facility had three to five business days to complete records request. Per MRD, she did not contact the requesting party to confirm receipt of medical records. MRD stated completion of record requests depended on the volume of requests received. MRD stated with delayed records, the requestor could be concerned why records were Page 1 of 2 555809 555809 09/29/2023 All Saint's Subacute & Transitional Care 1652 Mono Avenue San Leandro, CA 94578

F 0573 not received even after phone call and email follow-ups. Level of Harm - Minimal harm or potential for actual harm During a review of the facility's policy and procedure (P&P) titled, Access to Personal and Medical Records, dated May 2017, the P&P indicated, The resident may obtain a copy of his or her personal or medical record within two business days of an oral or written request. Residents Affected - Few 555809 Page 2 of 2