Santa Anita Convalescent Hospital

respectful. ?

During an interview on 8/26/2025 at 3:50 PM, CNA 3 stated she was assigned to Resident 3 on the night shift of 8/21/2205. CNA 3 stated she told Resident 3 she would be providing her incontinent care, but the resident refused. CNA 3 stated she could not leave Resident 3 wet, so she insisted she needed to be changed and Resident 3 resisted. CNA 3 stated she did not think of leaving Resident 3 alone or calling for another nurse or translator to further understand or explain clearly to Resident 3. CNA3 stated she should not have provided care at that time if Resident 3 said she did not want it. ?

During an interview on 8/27/2025 with LVN 3 at 12:14 PM, LVN 3 stated Resident 3's primary language was Spanish, and she was able to make her needs and wants known. LVN 3 stated according to facility policy, Residents have a right to refuse care and if Resident 3 refused ADL care, the staff should have acknowledged the resident's wants and went back later to offer ADL assistance and should have informed the LVN charge nurse. LVN 3 also stated that not honoring the residents' rights can upset them and can make them distrust staff there to help them. ?

During an interview on 8/27/2025 at 4:03 PM with CNA 4, CNA 4 stated Resident 3 spoke Spanish and able to let staff know if she wanted incontinence care provided at that time. CNA 4 stated during the night shift on 8/22/2025, Resident 3 informed her CNA 3 was rough with care and not listening or trying to understand her while providing incontinent care. ? During a concurrent interview with the Director of Nursing (DON) and record review on 8/27/2025 at 5:00 PM, the facility's policy & procedure (P&P) titled Resident Rights- Quality of Life, implemented 5/1/2023, the P&P indicated the purpose to ensure all residents are treated with the level of dignity they are entitled to while residing at the facility.

The P&P also indicated facility staff speak respectfully to residents at all times and staff treats cognitively impaired residents with dignity and sensitivity.

The DON stated per policy, dignity and respect are to be given to every resident and speaking respectfully?means using a normal time of voice, respectful tone, explaining to the resident what is to be done, and ensure culture and language differences are honored.

The DON also stated, if a resident is refusing care, staff should never force a resident to do comply but educate them, inform the charge nurse and return later to ensure the care is provided. ? During a review of the facility's P&P titled Resident Rights, revised 10/1/2017, the P&P indicated the facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment, that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. ? During a review of the facility's P&P titled Privacy and Dignity, revised 6/1/2017, the P&P indicated staff assists the resident in maintaining self-esteem and self-worth, residents are groomed as they wish to be groomed and staff treats residents with respect including respecting their social status, speaking respectfully, listening carefully.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Santa Anita Convalescent Hospital

5522 Gracewood Ave.

Temple City, CA 91780

SUMMARY STATEMENT OF DEFICIENCIES