Based on interview and record review the facility failed to ensure to screen and submit a new pre-admission screening and resident review (PASRR- screening for residents with mental disorder and residents with intellectual disability) after significant change in mental condition (a condition that affect resident's mood, thinking, and behavior) for one of two sample resident (Resident 1). This failure had the potential for mentally ill sample Resident 1 not to receive benefit from specialized health care and services.Findings:During an observation of Resident 1 on 8/7/2026 at 9:45 a.m., noted Resident 1 was in bed with one on one staff monitoring. …
F646 citations in California
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F646 less often than its own record predicts
0.77 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F646 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.
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 1.40× |
| 2024 | 0.03% | 0.73× |
| 2025 | 0.05% | 0.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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