Based on observation, interview and record review, the facility failed to follow its own policies & procedures when one of three sampled residents (Resident 1) was not allowed to return to the facility, after being taken into police custody for a few hours, without any prior notices of pending discharge. As a result, Resident 1 was hospitalized twice, and left homeless without health care services, medications, shelter or food, placing his life at serious risk for harm and death. Findings: Record review revealed Resident 1 was admitted to the facility on [DATE], with medical diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F626 citations in California
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F626 more often than its own record predicts
1.80 times the share F626 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F626.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F626 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 and record review, the facility failed to permit one of three sampled residents (Resident 1) to return to facility after the facility sent the resident to emergency room (ER). This failure resulted in denial of Resident 1's rights to return to the facility, which resulted in the resident's continuation of unnecessary hospital stay while waiting for placement. Findings: A review of the facility's ' Policy and Procedure on admission Screening,' dated 7/2012, stipulated, The main criteria for admission are the facility is equipped and be able to provide the needed care and services of the resident. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 3.11× |
| 2024 | 0.32% | 2.36× |
| 2025 | 0.10% | 1.80× |
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