Laguna Hills Health And Rehabilitation Center

Review of the facility's SOC 341 Report of Suspected Dependent Adult/Elder Abuse dated 5/29/24, showed CNA 1 witnessed CNA 5 calledResident 1 names and place a sheet over Resident 1's head.

Review of the facility's investigative summary dated 6/3/24, showed an interview was conducted with CNA 1 at 1700 hours.

The facility's summary showed CNA 1 stated CNA 5 told her that she managed the confused/combative residents by flicking them softly, not hard enough to leave a mark and she did it when no one was around.

During the interview, CNA 1 stated when preparing to enter Resident 1's room, CNA 5 told her that Resident 1 yelled insulting the facility's staff such as you're fat, you're ugly, and you need to lose weight. CNA 1 stated Resident 1 became combative while care was being provided and CNA 5 began calling Resident 1 fat, ugly, and told the resident that she needed to lose weight. CNA 1 stated when Resident 1 was placed in bed, CNA 5 covered Resident 1 with a sheet entirely from head to toe including her face and left it like that.

Medical record review for Resident 1 was initiated on 6/5/24. Resident 1 was admitted to the facility on [DATE].

Review of Resident 1's H&P examination dated 12/26/23, showed Resident 1 did not have the capacity to understand and make medical decisions. Resident 1 had diagnoses including dementia, anxiety, and depression.

Review of Resident 1's MDS dated [DATE], showed the resident had severe cognitive impairment.

056110

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 056110 B.

Wing 07/01/2024

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

Laguna Hills Health and Rehabilitation Center 24452 Health Center Drive Laguna Hills, CA 92653