F635 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F635 less often than its own record predicts
Versus expected share0.69×
0.69 times the national share — cited less often here than elsewhere.
Share of California citations0.04%
Of every deficiency written in California in 2025, this is the portion that was F635.
California0.04%
National0.06%
Share of all citations that were F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F635 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.
J · Immediate jeopardy, isolatedAugust 10, 2024
Based on interviews and record reviews, the facility failed to ensure the attending physician (Medical Doctor [MD] 1) included blood sugar monitoring [an intervention that is essential for managing diabetes that involves checking blood sugar levels using a device] and medications to manage Diabetes Mellitus [DM, a chronic disease where a person has high blood sugar levels because the body does not produce insulin (a hormone made by the pancreas- an organ in the body) normally] for one of three sampled residents (Resident 1) who was diabetic (a person with diagnosis of diabetes) by failing to:
1. …
Based on interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one of three sampled residents (Resident 1) with diagnosis of Diabetes Mellitus (DM, a chronic disease where a person has high blood sugar [glucose] levels because the body does not produce or use insulin [a type of hormone] normally and required blood sugar monitoring and/or medications to lower blood sugar levels) by failing to ensure to:
1. All appropriate discharge orders for diabetes management from the General Acute Care Hospital (GACH 1) were verified with the attending physician/Medical Doctor (MD) 1 upon admission to the skilled nursing facility on [DATE].
2. …
D · No harm, potential for more than minimal, isolatedMay 15, 2026
Based on interview and record review, the facility failed to ensure the continuity of care for one of 2 sampled residents (Resident 1) during their admission to the facility transitioning from a general acute care hospital (GACH) by failing to reconcile Resident 1's admission orders as evidenced to include vancomycin (an antibiotic or medication used to treat infection). This failure led to a break in course of therapy for Resident 1 and a delay of more than 24 hours to administer vancomycin (an antibiotic to treat Clostridioides difficile, also known as C. diff or C. …
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