Health inspection·July 18, 2024

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Based on interview and record review, the facility failed to develop a person-centered care plan (a document designed to facilitate communication among members of the care team that the summarizes a resident ' s health conditions, specific care needs, and current treatments) for one of three sampled residents (Resident 1) to address Resident 1 ' s gastrointestinal atony (inability of the stomach to contract normally, causing a delay in the movement of food out of the stomach). This deficient practice had the potential to result in a delay or lack of delivery of care and services and placed Resident 1 at risk for hospitalization. Findings: During a review of Resident 1 ' s admission Record indicated the facility originally admitted the resident on 10/9/2023 and readmitted Resident 1 on 12/23/2023 with diagnoses that included pneumonia (an infection of the lungs) and cerebral infarction (also known as a stroke, refers to damage to tissues in the brain due to a loss of oxygen to the area). During a review of Resident 1 ' s Minimum Data Set (MDS- a standardized assessment and screening tool) dated 10/22/2023, indicated that Resident 1 ' s cognition (mental action or process of acquiring knowledge and understanding through thought, experience, and the senses) was intact. The MDS further indicated that Resident 1 was dependent on staff with toileting hygiene, shower, and bathing; lower body dressing, bed mobility and transfer; and required maximum assistance with eating and personal hygiene. During a review of Resident 1's Physician ' s Order dated 12/14/2023, an order was noted that indicated to obtain a stat (immediately) Kidney, Ureter, and Bladder (KUB) X-radiation (the process of taking pictures or images of the inside of the body) to assess the abdominal area for Resident 1 ' s stomach pain. During a review of Resident 1's KUB X-ray Interpretation Report dated 12/14/2023, the report indicated that Resident 1 was affected with ileus (a temporary condition where the intestine can't push food and waste out of the body). During a review of Resident 1's Progress Notes dated 12/14/2023, timed at 7:53 p.m., indicated Resident 1 ' s physician was notified of the KUB report and stated that Resident 1 needed to mobilize (move) more. During a concurrent interview and record review with the Assistant Director of Nursing (ADON) on Page 1 of 2 555822 555822 07/18/2024 Canyon Oaks Nursing and Rehabilitation Center 22029 Saticoy Street Canoga Park, CA 91303

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 7/18/2024 at 4:40 p.m., the ADON reviewed Resident 1's Physician Order for KUB X-ray dated 12/14/2023, the KUB X-ray interpretation report dated 12/14/2023, and Resident 1 ' s care plans from 12/14/2023 to 7/18/2024. The ADON stated that the facility did not develop a comprehensive care plan for Resident 1's condition of ileus. During a review of the facility policy and procedures titled Care Plans, Comprehensive Person-Centered, revised 03/2022, last reviewed on 7/17/2024, indicated, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident . Reflects currently recognized standards of practice for problem areas and condition Assessment of residents are ongoing and care plans are revised as information about the resident and the residents ' conditions change. 555822 Page 2 of 2