F580 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F580 less often than its own record predicts
Versus expected share0.94×
0.94 times the national share — cited less often here than elsewhere.
Share of California citations1.40%
Of every deficiency written in California in 2025, this is the portion that was F580.
California1.40%
National1.48%
Share of all citations that were F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F580 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.
J · Immediate jeopardy, isolatedAugust 9, 2025
Based on interview and record review, the facility failed to implement its policy and procedure (P&P) titled, Change of Condition Notification, last reviewed on 4/4/2025 for one of three sampled residents (Resident 1) by failing to notify Medical Doctor 1 (MD 1) when on 7/19/2025 at 4 a.m., Resident 1 who had a diagnosis of type 2 diabetes mellitus (DM - a disease that occurs when your blood sugar [BS] is too high), had a change of condition (COC - a major decline in a resident's status). …
Based on interview and record review, the facility failed to ensure a significant change in condition for one of three sampled residents (Resident 1) was immediately reported to the physician. This failure resulted in a delay in necessary medical intervention and subsequent hospitalization for Resident 1.Findings: During a review of Resident 1's clinical record, the face sheet (contains demographic and medical information), and history and physical (H&P -comprehensive medical evaluation written by a doctor) indicated Resident 1 was admitted on [DATE], with diagnoses that included atrial fibrillation (a heart condition where the heart irregularly and fast), cirrhosis (the liver no longer works well), and morbid obesity (excess fat that poses severe health risks). …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observation, interview, and record review, the facility failed to ensure the physician was notified when one of three sampled residents (Resident 1), who was diagnosed with type 2 diabetes mellitus ([DM] a disorder characterized by difficulty in blood sugar control and poor wound healing), did not receive prescribed Tradjenta (linagliptin, a medication used to help control blood sugar in people with type 2 diabetes) from 8/21/2026 through 8/27/2026 due to medication unavailability. This deficient practice resulted in Resident 1's physician being unaware of the repeated missed doses of Tradjenta and unable to provide further instructions regarding the missed medication. This deficient practice placed Resident 1 at risk for unmanaged blood sugar levels. …
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