Based on observation, interview, and record review, the facility failed to have a qualified full-time Director of Activities (the staff responsible for facility's resident activities program), for 45 of 45 residents. This failure had the potential for residents' activities needs to go unmet. Findings: During an interview on 4/9/25 at 3:10 p.m. with Certified Nursing Assistant (CNA) 1, CNA 1 stated she was taught how to fill out the Activities Evaluation in CERNER (an electronic health record charting system) and in paper chart by a unit clerk last month. CNA 1 stated the Director of Activities had been out on medical leave since February 2025. During an interview on 4/9/25 at 3:59 p.m. …
F680 citations in California
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F680 less often than its own record predicts
0.18 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F680.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F680 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 interviews and document review, the facility failed to ensure the activity program was directed by a qualified professional. This deficient practice affected all 99 residents who currently resided in the facility. Findings included: A review of the Job Description & Competency Evaluation, for the Director of Activities, updated 01/16/2019, revealed Position Qualifications: Minimum Education: Completion of a rehabilitation/recreational therapy course work High school graduate or equivalent required. In an interview on 03/19/2024 at 8:24 AM, Activity Assistant (AA) #3 and AA #4 revealed the Administrator was the Activity Director (AD). …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.35× |
| 2024 | 0.02% | 0.22× |
| 2025 | 0.01% | 0.18× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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