Westview Healthcare Center

resident's most important information) and profile on 3/27/26 at 11:30 a.m., contained the name of the

about the RP's request.

During an interview and review of Resident 1's profile on 3/27/26 at 12:27

she did not want Resident 1 to be seen by PD, who was facility's contracted psychiatrist.

The SSA stated she was not aware if Resident 1 had been seen by PD.

Upon reviewing Resident 1's clinical records, the SSA stated, I see this [PD] name on resident's profile, but it doesn't look like the resident was seen by her.During a joint interview and record review on 3/27/26 at 12:40 p.m., with DON and ADON, the ADON stated Resident 1's RP was involved in the resident's care and made all treatment decisions on behalf of Resident 1.

The ADON acknowledged that Resident 1's physician's orders contained an order dated 6/12/24 to call spouse with any changes to medications, treatments. any change to care plan - any change at all must be approved by spouse.

The ADON validated that the facility was aware that Resident 1's RP did not want contracted PD to oversee Resident 1's care.

The ADON stated that Resident 1 had been managed by outside psychiatrist selected by resident's RP.

The ADON stated, We discussed this with her in the past, I think December and recently she brought up this concern again.During a further interview and record review on 3/27/26 at 12:40 p.m., with DON and ADON, the ADON reviewed resident's profile and confirmed that PD's name was listed on Resident' 1s profile.

The ADON stated that last week Resident 1's RP brought up her request regarding Resident 1 not be seen by PD.

The ADON added, I have told her that I will remove [PD's] name, but I did not do it yet, did not have chance. I explained to [RP's name] that before the PD sees any residents, she checks with me or nurses.

The ADON stated she did not communicate Resident 1 RP's request to PD.

The ADON stated that she was not aware that the same day she assured Resident 1's RP that PD's name will be removed from the resident's profile, the PD went to Resident 1's room to see the resident.

The ADON stated, .not aware that she went to see [Resident 1].

She should not have his name on her list.

When the ADON was asked if PD stopped by and discussed with ADON which residents she was going to see on that day, the ADON replied No.During a continued interview with DON and ADON on 3/27/26 at 12:40 p.m., the DON stated, We are doing the right things for resident.

There is no harm done to resident.

There were no new orders and no changes to [Resident 1's name] care plan.

The DON and ADON were asked whether having Resident 1's name on psychiatrist's list and who was able to access resident's clinical records prior coming to resident's room, was violation of his rights to privacy, the DON and ADON did not provide the answer.

The DON and ADON did not reply if Resident 1's HIPPA and rights to privacy were violated when his clinical records were reviewed without Resident 1's authorization by RP. A review of the facility's policy titled, Resident Rights, revised in 10/2024, indicated that all residents in the facility had certain rights that were guaranteed by the federal and state laws.

The policy indicated that the resident rights included right to, .Choose a physician and treatment and participate in decisions and care planning.Privacy and confidentiality.

The policy further indicated that the facility prohibited the unauthorized access or disclosure of resident's information.