Inspection·February 5, 2026

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and medical record review, the facility failed to ensure the appropriate bed hold process was followed for one of one sampled resident (Resident 42) reviewed for bed hold. * Resident 42's bed hold was cancelled prior to the end of the seven-day bed hold. This failure resulted in Resident 42 not being allowed to return to the facility when Resident 42 was transferred to the acute care hospital. Findings: On 1/23/26, CDPH received a complaint regarding Resident 42's bed hold being cancelled prior to the end of the seven-day bed hold. Review of the facility's P&P titled SAU (Subacute Unit) Transfer, Discharge, Bed-hold Procedure reviewed 9/2025 showed at the time of transfer/discharge, the patient and family member or legal representative are given a written notice of the bed-hold policy that specifies the duration of the bed hold and readmission criteria after the bed-hold period ends. In addition, the policy showed the SAU allows a patient whose hospitalization or therapeutic leave exceeds the bed-hold period under the State plan to return to the SAU immediately upon the first availability of a bed in a semi-private room even if the patient has an outstanding Medicaid balance, if the patient requires the services provided by the SAU and is eligible for Medicaid nursing SAU services. Furthermore, the policy showed if the SAU determines a patient who was transferred with an expectation of returning to the SAU, cannot return to the SAU, the SAU complies with the requirements to notify the patient and the patient's representative of the transfer or discharge and the reasons for the move in writing and in language and manner they understand; the SAU sends a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman; the written notice of transfer/discharge includes: reason for transfer/discharge, effective date of transfer/discharge, location to which the patient is transferred/discharge, statement that the patient has the right to appeal the action to the state, including the name, address (mailing and email), and telephone number of the entity which resolves such requests and information on how to obtain an appeal form and assistance in completing the form and submitting the appeal hearing request; name, address, and telephone number of the state long term care ombudsman, and for patients with intellectual and developmental disabilities or related disabilities, mailing address and email address and telephone number of the agency responsible for protection and advocacy of developmentally disabled. On 1/28/2026 at 1544 hours, a telephone interview was conducted with Hospital Case Manager 1. Hospital Case Manager 1 stated their staff informed the facility on 1/18/26, that Resident 42 was ready to return to the facility. Hospital Case Manager 1 stated Resident 42 was transferred to the hospital on 1/12/26. Hospital Case Manager 1 stated the facility's Administrator told Hospital Case Manager 1 Resident 42 could not return to the facility unit where he previously resided and there was no available bed for Resident 42. Closed medical record review for Resident 42 was initiated on 1/28/26. Resident 42 was admitted to the facility on [DATE], and was transferred to the acute care hospital on 1/12/26. Review of Resident 42's Notice of Transfer/Discharge Form dated 1/12/26 showed Resident (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 6 Event ID: 555859 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555859 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/05/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kindred Hospital Brea D/P Snf 875 N Brea Blvd Brea, CA 92821 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)