F628 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F628 less often than its own record predicts
Versus expected share0.71×
0.71 times the national share — cited less often here than elsewhere.
Share of California citations0.66%
Of every deficiency written in California in 2025, this is the portion that was F628.
California0.66%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F628 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.
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on interview, and record review, the facility failed to complete and document appropriately the transfer summary (document that accompanies a patient when they move between care setting, facility, or provider to another and includes the patient's diagnosis, medications, treatments, dietary requirements, rehabilitation potential, allergies and treatment plan) for one of three sampled residents (Resident 1) by failing to:1. Send a complete transfer summary with Resident 1 upon transfer to General Acute Care Hospital (GACH) 1 on 8/16/2026.2. Indicate the time of transfer for Resident 1 to GACH 1 on 8/16/2026.3. Indicate the name and location of the GACH, where Resident 1 was transferred to on 8/16/2026.4. …
B · No harm, potential for minimal, patternJanuary 9, 2026
Based on interview, medical record review, and facility P&P review, the facility failed to provide the necessary transfer/discharge services for one of three residents (Resident 7) reviewed for close records. * The facility failed to notify Resident 7 and/or their representative in writing regarding the transfer and reasons for the transfer, and the facility's bed hold policy when Resident 7 was transferred to the acute care hospital. In addition, the facility failed to send the copy of notice of transfer discharge to Ombudsman (a neutral advocate who investigates and resolves complaints for residents in healthcare settings like long-term care facilities). …
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