Based on interview and record review, the facility failed to protect the rights for one of 25 sampled residents (Resident 3) when the facility disregarded Resident 3's right for autonomy (when healthcare providers, caregivers, or facility staff make decisions for a resident without their consent, input, or consideration of their preferences) to designate his own representative.This failure resulted in Resident 3's psychological distress, functional decline and loss of dignity.Findings: A review of Resident 3's admission Record (AR) indicated Resident 3 was readmitted to the facility in March 2026 with diagnoses which included dementia (a decline in memory, thinking and social abilities) and cerebrovascular disease (conditions that affect blood flow to the brain).During a review of Resident… …
F551 citations in California
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F551 more often than its own record predicts
1.47 times the share F551 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F551.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F551 findings written in California, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.48× |
| 2024 | 0.12% | 1.57× |
| 2025 | 0.11% | 1.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction