Based on observation, interview, and record review, the facility failed to ensure three of 10 sampled residents (Residents 1, 2, and 3) were free from involuntary seclusion (separation of a resident from other residents or from her/his room or confinement to her/his room with or without roommates against the resident's will, or the will of the resident representative) by failing to: 1. Ensure Certified Nurse Assistant (CNA) 1 did not use two utility/linen carts (material handling cart used for bedding, linens, and other supplies) to block the entrance/exit (only one entrance and exit) to Resident 1, 2, and 3's Room (RM 1) after CNA 1 witnessed Resident 1 spilling liquid on the floor. …
F603 citations in California
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F603 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F603 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 observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1) had the right to be free from involuntary seclusion (separation of a resident from other residents or from her/his room) imposed for staff convenience. On 4/12/2023 at 1:15 a.m., Resident 1 fell in her room due to restlessness and was sat in her wheelchair. At 1:36 a.m., Registered Nurse 1 (RN 1) wheeled Resident 1 to an empty and dark resident's room, moved a linen cart to partially block the door, left the room without turning on the lights, isolating Resident 1 from a familiar environment. Resident 1 remained in the room until 5:58 a.m. when she wheeled herself out of the room. …
Based on observation, interview, and record review the facility failed to ensure nine residents (Resident 32, Resident 17, Resident 59, Resident 84, Resident 94, Resident 122, Resident 71, Resident 36 and Resident 126) out of 32 sampled residents were free from involuntary seclusion when resident room doors were left closed.This failure had the potential to increase the risk of psychosocial trauma and physical injury when residents were unable to exit their rooms independently or access staff during an emergency. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.01% | 0.58× |
| 2024 | 0.02% | 0.45× |
| 2025 | 0.02% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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