F609 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F609 less often than its own record predicts
Versus expected share0.83×
0.83 times the national share — cited less often here than elsewhere.
Share of California citations2.03%
Of every deficiency written in California in 2025, this is the portion that was F609.
California2.03%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F609 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.
K · Immediate jeopardy, patternFebruary 25, 2022
Based on interview and record review, the facility failed to report allegations of exploitation (taking advantage of a resident for personal gain, using manipulation, intimidation, threats, or pressure) within 24 hours for three of three sampled residents (Residents 1, 2, and 3) to the California Department of Public Health (CDPH) in accordance with the facility's policy and procedure (P&P).
On 2/18/2022, at 5:50 pm, Resident 2 told SSD that she and Resident 1 purchased marijuana (a green, brown, or gray mix of dried, crumbled parts from the marijuana plant which contains chemicals which act on your brain and can change your mood or consciousness) from Primary Counselor (PC) who was employed by the facility (unidentified date and time). …
Based on observation, interview, and record review, the facility failed to report physical and verbal abuse, and an injury of unknown origin within two hours to the state and federal entities (California Department Public Health, CDPH, the Ombudsman, [a person appointed by the government who ensures that residents are treated fairly and that their rights are protected], and the Sheriff's office) for two of two residents (Resident 1 and 2) reviewed for abuse, when:1. On 10/1/25 at 9:30 pm, Certified Nursing Assistant (CNA) 1 witnessed CNA 2 roughly turning, slapping and holding down Resident 1's hands and arms and causing a skin tear to Resident 1's left wrist during patient care. …
D · No harm, potential for more than minimal, isolatedSeptember 3, 2026
Based on interview and record review, the facility failed to ensure the allegation of neglect for one of one sample resident (Resident 35) was reported in a timely manner to the appropriate authorities in accordance with the California Reporting Requirements (result in serious bodily injury is reported immediately and no later than 2 hours, if no injury it is reported no later than 24 hours).This failure had the potential to delay appropriate interventions and protective measures for Resident 35 and place the resident at risk for further harm.During the review of Resident 35 admission Record (clinical record with demographic information), the admission Record indicated, Resident 35 was admitted on [DATE] with diagnoses which included chronic respiratory failure (long term breathing… …
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