Health inspection·January 3, 2024

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Based on interview and record review, the facility failed to protect Resident 1 from verbal abuse when CNA 1 (certified nurse ' s assistant 1) called Resident 1, you d**k, after Resident 1 punched CNA 1 on the chest. This failure resulted in verbal abuse to Resident 1. Findings: During an interview on 12/22/23 at 7:00 p.m. with CNA 3, CNA 3 stated, CNA 1 was assigned to Resident 1 ' s room. CNA 3 continued, CNA 2 and CNA 3 heard a call light ring, and they went to check who was calling. CNA 3 added they saw the light was from Resident 1 ' s room, and she started to walk to Resident 1 ' s room when CNA 2 joined. CNA 3 stated that as she was approaching Resident 1 ' s room, she heard a commotion in the room, so she listened at the door. CNA 3 added, she heard Resident 1 fussing and fighting, then she heard CNA 1 yell, F***ing D**k, to which CNA 2 told CNA 3 that was inappropriate. CNA 3 stated CNA 1 went to get linen for Resident 1 ' s room and CNA 2 and CNA 3 asked CNA 1 to leave the room. CNA 3 added she and CNA 3 took over care for Resident 1 and CNA 1 stayed outside the door. CNA 3 stated, she reported the incident to Charge Nurse 1, who notified SRN 1 (Supervising Registered Nurse 1). During a subsequent interview on 12/29/23 at 6:20 p.m. with CNA 3, CNA 3 stated, I miss interpreted my words. (CNA 1) did not use the F word. (CNA 1) just said ' you d**k ' to (Resident 1). During an interview on 12/22/23 at 7:30 p.m. with CNA 2, CNA 2 stated Resident 1 was on the memory care unit. CNA 2 added, she and CNA 3 heard a call light ring and checked to see whose call light it was. CNA 2 continued, she saw that it was for Resident 1, who could be combative and refused care. CNA 2 stated, I understand when a Resident becomes combative and refuses care, we are supposed to stop our care and come back in 5-10 minutes. CNA 2 stated, CNA 1 had pushed the call light for help and Charge Nurse 1 asked for CNA 2 to help CNA 1. CNA 2 stated that she arrived at Resident 1 ' s room prior to CNA 3 and Resident 1 was being combative. CNA 2 continued, she was trying to help Resident 1 in his bed when Resident 1 punched CNA 1 on the chest, and CNA 1 responded, stop that you dick. CNA 2 added, CNA 3 entered the room and kicked CNA 1 out of the room. During a record review of the MDS (Minimum Data Set) for Resident 1, dated 8/21/23, the record showed a BIMS (Brief Interview for Mental Status) score of 3 in a range of 0-15. A higher BIMS score indicated a intact cognitive response and a lower BIMS score suggested cognitive impairment. During a review of the Behavior Care Plan for Resident 1, the plan documented under the problem list, physical aggression towards others on 8/28/23 and striking out at staff on 11/18/23. The plan showed the interventions of provide redirection as indicated on 8/25/22, redirect and keep distance on (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 2 Event ID: 555891 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 555891 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/03/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Veterans Home of California - Redding 3400 Knighton Road Redding, CA 96002 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)