Deficiency Index

F645 citations in California

PASARR screening · Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F645 in California. Pick another state for the same tag.

Against expectation — 2025

California cites F645 more often than its own record predicts

Versus expected share1.14×

1.14 times the share F645 takes of citations nationally.

Share of California citations0.69%

Of every deficiency written in California in 2025, this is the portion that was F645.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What California surveyors wrote

F645 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.

E · No harm, potential for more than minimal, patternAugust 14, 2026

Based on interview and record review, the facility failed to ensure each resident in a nursing facility is screened for a mental disorder (MD) or intellectual disability (ID) prior to admission and that individuals identified with MD or ID are evaluated and receive care and services in the most integrated setting appropriate to their needs to four of four sampled residents (Resident12, 17, 48, and 66) reviewed for Preadmission Screening and Resident Review (PASARR, a federal assessment requirement to help ensure that individuals who have a mental disorder or intellectual disabilities are placed in facilities that can provide the appropriate care) by failing to 1. …

Astoria Healthcare Center

B · No harm, potential for minimal, patternFebruary 18, 2026

Based on interview, medical record review, and facility P&P review, the facility failed to ensure the PASRR level 1 contained accurate information for one of two final sampled residents (Resident 3) reviewed for PASRR. * Resident 3 had the diagnosis of major depressive disorder (mood disorder characterized by persistent sadness, hopelessness, and loss of interest in activities lasting at least two weeks) and was prescribed quetiapine (antipsychotic medication). However, the PASRR level 1 showed Resident 3 had no diagnosed mental illness and was not prescribed the psychotropic medication. …

Alta Gardens Care Center

The short window

Recent years

YearShare of California citationsvs expected
20230.46%0.79×
20240.68%1.06×
20250.69%1.14×

Shares of citations, not counts: earlier years hold fewer inspections.

What else California surveyors cite →

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