Based on interview and record review, the facility failed to ensure the Pre-admission Screening and Resident Review Level II (PASRR Level II - a special evaluation that helps decide what extra support or care a person needs for residents who are identified to have a serious mental illness [SMI-mental health condition that makes it hard for a person to do everyday things like going to school, working, or taking care of themselves] or an intellectual/developmental disability [I/DD-significant limitations in both thinking and every day functioning]) was completed for one of two sampled residents (Resident 61) when Resident 61 PASRR Level I Screening ( initial assessment to see if a person going into a nursing home might have a serious mental illness or an intellectual/developmental… …
F644 citations in California
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F644 less often than its own record predicts
0.67 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F644 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, facility document review, and facility P&P review, the facility failed to comply with the Level II categorical determination requirements of DHCS as part of the PASRR process for one final sampled resident (Resident 6) reviewed for PASRR. * The facility did not accurately complete the Level I screening following a change in status for Resident 6 who was receiving psychotropic medications. This failure had the potential for the resident to not receive appropriate care and services due to their mental disorder or intellectual disability not being properly identified and evaluated. Findings: Review of the facility's P&P titled PASRR revised 3/2019 showed the facility was to complete a periodic review of PASRR status until the case was closed. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.39× |
| 2024 | 0.54% | 0.84× |
| 2025 | 0.42% | 0.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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