Bellflower Post Acute

During a review of Resident 7's Admission Record, the Admission Record indicated Resident 7 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including primary hypertension (high blood pressure) retention of urine, unspecified (when person is unable to completely empty the bladder) and difficulty in walking, not elsewhere classified.

During a review of Resident 7's History and Physical (H&P), dated 12/11/2025, the H&P indicated, Resident 7 had the capacity to make decisions.

During a review of Resident 7's Minimum Data Set (MDS- a resident screening tool) dated 1/29/2025, the MDS indicated, Resident 7 required partial/moderate assistance - helper does less than half the effort.

Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort with lower body dressing, putting on/taking off footwear, shower/bathe self and Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity upper body dressing and sit to stand.

During a review of Resident 7's Order Summary Report (OSR) dated 1/1/2025 , the OSR indicated foley catheter French 20 (size of the catheter / 10 cc (balloon that can be inflated with 10 milliliters of water to secure it within the bladder).

During a record review of Resident 7's undated Care Plan titled Foley Catheter, the Care Plan indicated to place all tubing without touching the floor.

055408

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 055408 B.

Wing 02/21/2025

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

Bellflower Post Acute 9710 E.

Artesia Ave Bellflower, CA 90706