Based on observation, interview, and record review the facility failed to follow up timely on a grievance filed for lost dental partial (removable dental appliance that replaces one or more missing teeth while you still have some natural teeth left). per policy for one of three sampled residents, (Resident 1). This deficient practice places Resident 1 at nutritional risk due to inability to eat without dental partial. A review of Resident 1's admission record indicated the facility originally admitted this [AGE] year-old female on 11/01/2021 and most recently on 3/1/2026 with diagnoses including metabolic encephalopathy (chemical imbalance in the blood), urinary tract infection (UTI- an infection in the bladder/urinary tract), chronic obstructive pulmonary disease (COPD-a chronic lung… …
F585 citations in California
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F585 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F585 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.
Based on interview and medical record review, the facility failed to thoroughly investigate a grievance for one of 19 sampled residents (Resident 87). This failure posed the risk of not taking all appropriate corrective action. Findings: Medical record review for Resident 87 was initiated on 4/10/24. Resident 87 was admitted to the facility on [DATE]. Review of Resident 87's H&P examination dated 3/21/24, showed Resident 87 had diagnoses included post status multiple falls, episodes of delirium, anxiety, and generalized muscle weakness. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 0.58× |
| 2024 | 0.39% | 0.62× |
| 2025 | 0.33% | 0.51× |
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