F660 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F660 more often than its own record predicts
Versus expected share1.13×
1.13 times the share F660 takes of citations nationally.
Share of California citations0.09%
Of every deficiency written in California in 2025, this is the portion that was F660.
California0.09%
National0.08%
Share of all citations that were F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F660 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, isolatedDecember 12, 2024
Based on interview and record review, the facility failed to ensure a resident, who was assessed to have a cognitive (the mental process of thinking, learning, remembering, being aware of surroundings and using judgement) impairment and the inability to make medical decisions, was not allowed to leave from the facility against medical advice ([AMA] when a patient chooses to leave a hospital before the doctor recommends discharge) and they failed to ensure discharge planning was conducted for one of three sampled residents (Resident 1) when the facility was made aware that Resident 1's significant other had intentions of taking Resident 1 from the facility AMA.
The facility failed to:
1. …
Based on interviews and record reviews, the facility failed for one of three sampled residents (Resident A), to ensure Resident A's discharge plan to an assisted living facility (provides support with daily activities but does not offer extensive medical care) was re-evaluated and modified when the resident developed a Stage 4 pressure injury (bed sore with severe tissue damage with exposed bone, tendon [tissue that connects the muscle to the bone], and muscle).
This failure resulted in Resident A being transferred to a lower level of care facility (designed for residents who did not require specialized medical attention) leading to the worsening of the Stage 4 pressure ulcer and requiring acute hospitalization . …
E · No harm, potential for more than minimal, patternApril 24, 2025
Based on interview and record review, the facility failed to develop and implement an effective discharge planning process to identify and address goals for three of three sampled residents (Resident 4, Resident 5, and Resident 6).
This failure resulted in rushed discharges without adequate coordination of post-discharge care, placing residents at risk for rehospitalization and inadequate support.
(Cross-reference: F-656, Comprehensive Care Plans)
Findings:
1. Resident 4 was admitted to the facility on [DATE] with diagnoses that included heart failure (heart muscle cannot pump enough blood to the body), Schizoaffective Disorder, Bipolar Type (mental illness), per the admission Record.
On 4/24/25, a review of Resident 4's medical record was conducted. …
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