Based on interview and record review, the facility failed to follow the policy and procedure (P&P) titled, Admission, Transfer, Discharge and Bed-Holds, for one of three sampled residents (Resident 1) when Resident 1 (a veteran - someone who has served in a nation's armed forces) was denied admission for rehabilitation services based on payment source. This failure had the potential to delay recovery for Resident 1 following an Esophagogastroduodenoscopy (EGD - a medical procedure used to examine the lining of the esophagus, stomach, and the first part of the small intestine), Robotic Ivor [NAME] Esophagectomy (a minimally invasive surgical procedure with the use of a surgical robot to remove a portion of the esophagus to treat cancer) and Exploratory Laparotomy (a surgical procedure… …
F621 citations in California
Resident Rights Deficiencies
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F621 more often than its own record predicts
1.72 times the share F621 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F621.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F621 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.
What else California surveyors cite →
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