Based on interviews and record reviews, the facility failed to ensure a safe discharge for one of three sampled residents (Resident 1), who was a Regional Center client (a person with a developmental disability receiving care in a state-sponsored facility), with diagnoses including schizoaffective disorder (a mental illness that can affect thoughts, mood, and behavior) bipolar type (mood swings that range from the lows of depression [persistent feeling of sadness] to elevated periods of emotional highs), unspecified psychosis (mental health condition characterized by a loss of contact with reality), anxiety disorder (intense and persistent worry that is difficult to control and interferes with daily life) and seizures (sudden, uncontrolled electrical disturbance in the brain which can… …
F627 citations in California
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F627 more often than its own record predicts
1.89 times the share F627 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F627 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 ensure adequate preparation for a safe and appropriate discharge for one of three sampled residents (Resident 1) when:1. The facility did not follow the acute hospital's discharge plan to have Resident 1 stay in a SNF [skilled nursing facility, is a specialized inpatient facility that provides 24-hour medical, nursing, and rehabilitative care (medical or therapeutic treatment that helps you get back, keep, or improve the skills and abilities )] for long term care but instead discharged her to home with orders for HH [home health, provided by HHA - Home Health Agency, an organization that provides skilled nursing and therapeutic care (any treatment, action, or environment designed to heal an illness, ease pain, or improve mental… …
Based on interview, and record review, the facility failed to provide a safe discharge for two of three sampled residents (Resident 1, and Resident 2) who were given a notice of transfer (a formal written communication required when a nursing home or long-term care facility moves a resident to a different location or discharges them) when:1.There was no documentation in Resident 1's electronic medical record for a discharge plan that included if Resident 1's outpatient services were being arranged or obtained prior to being discharged from the facility, and;2. …
What else California surveyors cite →
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