Based on interview and record review, the facility failed to provide a bed hold notification upon transfer to hospital to one of 17 sampled residents (Resident 36), when Resident 36 was transferred to hospital without a bed hold notification on 3/4/25, 3/11/25, and 4/15/25. This failure decreased the facility's potential to protect Resident 36's right in bed hold and return to facility. Findings: A review of Resident 36's admission Record, indicated Resident 36 was admitted to the facility in 2025 with a diagnosis of congestive heart failure (a condition where the heart's pumping action is weakened, making it difficult to meet the body's needs). A review of Resident 36's Census List, dated 4/23/25, indicated Resident 36 was discharged on 3/4/25, 3/11/25, and 4/15/25. …
F625 citations in California
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F625 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F625 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, medical record review, and facility P&P review, the facility failed to ensure the resident or the resident's representative was provided the written or verbal notice of the facility's bed hold (holding or reserving a resident's bed while the resident in the acute care hospital) policy upon transfer to the acute care hospital for one of five final sampled residents (Resident 680) reviewed for discharge and transfer. This failure had the potential for the resident and the resident's representative to be unaware of their rights to return to the facility following a hospitalization. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 0.43× |
| 2024 | 0.32% | 0.46× |
| 2025 | 0.20% | 0.68× |
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