Briarcrest Nursing Center

During an interview on 3/13/2025 at 2:45 PM, the MDS Nurse Consultant (MDSC), the MDSC stated her role was to train and re-educate MDS staff (including MDSN 1), to ensure MDS assessments were completed accurately and in accordance with the RAI manual.

The MDSC stated MDSNs were required to follow the instructions provided in the RAI manual when conducting and documenting MDS assessments.

The MDSC stated she trained MDSN 1 a few years ago, but there were no routine performance evaluations of MDSN 1 since that time. MDSC stated she picked random resident MDS assessments to audit monthly, but it was not an observation of MDSN 1 performing the assessments directly.

The MDSC stated the importance of an accurate MDS was to provide an accurate assessment of the resident and ensure they received resident-centered care that addressed their needs.

During an interview on 3/13/2025 at 3:49 PM, with the Administrator (ADM), the ADM stated there was no current annual evaluation in place to evaluate MDSN 1's ability to accurately conduct or document MDS assessments.

During a review of MDSN 1's employee record titled MDS Nurse, dated 7/1/2022, the record indicated the essential duties and responsibilities of MDSN 1.

The record indicated MDSN 1 was responsible for restoring and/or maintaining the resident's health and well-being by conducting resident assessments.

The record indicated MDSN 1 was responsible for ensuring residents' present/potential health and wellness problems were identified, and indicated the charting was to be documented accurately.

056220

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056220 B.

Wing 03/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Briarcrest Nursing Center 5648 East Gotham Street Bell Gardens, CA 90201