F607 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F607 less often than its own record predicts
Versus expected share0.61×
0.61 times the national share — cited less often here than elsewhere.
Share of California citations0.41%
Of every deficiency written in California in 2025, this is the portion that was F607.
California0.41%
National0.66%
Share of all citations that were F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F607 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.
L · Immediate jeopardy, widespreadMarch 7, 2026
Based on observation, interview, and record review, the facility failed to develop written policies and procedures (P&P) that clearly defined all forms of abuse to include resident-to-resident abuse. This failure resulted in the facility's inability to recognize and identify three of three sampled incidents involving resident-to-resident physical and alleged sexual assault as abuse when1. Resident 2 punched Resident 1 in the face while Resident 1 slept and Resident 2 alleged sexual assault and stated he [Resident 1] tried to have sex with me.2. Resident 3 kicked Resident 4 in the buttocks and Resident 4 punched Resident 3 in the face three times.3. …
Based on interview and record review, the facility failed to report alleged abuse and neglect for 10 (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, and Resident 6, Resident 7, Resident 8, Resident 9, Resident 10) of 15 sampled residents. This failure resulted in alleged abuse to continue with no facility intervention.
Findings:
During a review of the facility record (FR), dated 12/24/21, the FR indicated, On December 19, 2021 at approximately [7:30 PM], I [Director of Nursing - DON] was performing a yearly evaluation with one of my [night shift] nurses. During the process of this evaluation, [Licensed Vocational Nurse - LVN 1] had stated 'there was a problem with [CNAs 1] leaving her residents in bed soaked with urine'. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on interview and record review, the facility failed to implement its abuse policy and procedure for one of three sampled residents (Resident1) when Resident 1 was identified to have injuries of unknown origin. This failure had the potential to place Resident 1 and all residents in the facility at risk for unrecognized abuse, ongoing harm, and an unsafe environment.Findings:During a review of Resident 1's admission Records, the admission Records indicated Resident 1 was admitted to the facility on [DATE] with diagnosis including left knee osteoarthritis (disease in which the tissues in the joint break down over time), difficulty walking and muscle weakness.During a review of Resident 1's History and Physical (H&P), the H&P indicated Resident 1 had the capacity to understand and make… …
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