Health inspection·July 16, 2024

F 0609 Level of Harm - Potential for minimal harm Residents Affected - Some Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, medical record review, and facility P&P review, the facility failed to implement their P&P for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act when an allegation of abuse involving CNA 1 and one of three sampled residents (Resident 1) was not reported timely to the CDPH, L&C Program. This failure posed the risk of potential abuse to go unreported and uninvestigated. Findings: Review of the facility's P&P titled Abuse Recognition/Reporting Elder/Dependent revised 2/2024 showed any instance of alleged or suspected abuse involving a resident will be reported in accordance with Welfare and Institutional Codes of the State of California, Federal Law, California Health and Safety Codes, and the Elder Abuse and Dependent Adult Civil Protection Act. The facility is required to report all incidents of alleged abuse or suspected abuse to the Department of Health Services within 24 hours. Review of the SOC 341 Report of Suspected Dependent Adult/Elder Abuse dated 6/28/24, showed Resident 1's family members accused CNA 1 of hitting Resident 1. Medical record review for Resident 1 was initiated on 7/15/24. Resident 1 was admitted to the facility on [DATE]. Review of Resident 1's H&P examination dated 3/14/24, showed Resident 1 was cognitively intact. Review of Resident 1's Nursing Notes dated 6/22/24, showed Resident 1 sustained a scratch on the left temple area. On 7/15/24 at 0915 hours, an interview was conducted with CNA 1. CNA 1 stated he had noted an abrasion above Resident 1's left eye and reported it to the LVN. CNA 1 stated he was unsure how the injury had occurred. CNA 1 stated Resident 1's family members approached him on 6/23/24, and accused him of causing Resident 1's injury on the left temple area. CNA 1 further stated the charge nurse was in the nursing station with him and overheard the situation. CNA 1 stated the abuse should be reported right away to the charge nurse. On 7/16/24 at 1015 hours, an interview was conducted with RT 1. RT 1 stated he heard Resident 1's family members accusing CNA 1 of causing Resident 1's injury on the left temple area. Page 1 of 2 555883 555883 07/16/2024 West Anaheim Medical Center D/P Snf 3033 W Orange Ave Anaheim, CA 92804

F 0609 Level of Harm - Potential for minimal harm Residents Affected - Some However, the CDPH, L&C program received the SOC 341 dated 6/28/24, five days after the allegation was made. On 7/16/24 at 1320 hours, an interview was conducted with the DON. The DON stated she wasthe Abuse Coordinator and all allegations or suspicions of abuse must be reported to her. The DON stated no allegations of abuse involving Resident 1 was reported to her on 6/23/24. 555883 Page 2 of 2