Based on observation, interview, and record review, the facility failed to ensure care and treatment was provided, for 12 of 93 residents (Residents 113, 4, 12, 9, 69, 5, 89, 116, 87, 109, 84, and 119), when:1.For Resident 113, the facility did not conduct on-going assessment of the resident's bowel movement/constipation (difficulty passing stool) and implement interventions to address constipation according to the physician's order and facility's policy and procedure, when Resident 113 did not have bowel movement from February 4, 2026, to February 10, 2026 (seven days). In addition, the facility staff did not act on several daily alert notifications from February 6, 2026, to February 11, 2026, indicating Resident 113 not having a bowel movement (BM) for more than three days.2. …
F684 citations in California
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F684 less often than its own record predicts
0.93 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F684 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 and record review, the facility failed to provide quality of care for six of 18 residents (Residents 1, 2, 3, 4, 9, and 10) who have Diabetes Mellitus (DM, a chronic disease characterized by high levels of sugar in the blood) when:1. For Resident 1, the facility did not follow the physician's order to monitor blood glucose (BG, blood sugar) every 6 hours by glucometer (a device used to measure the amount of glucose in your blood) from 4/18/25 to 7/7/26 (a period of over 14 months); the facility did not conduct periodic laboratory tests to monitor Resident 1's blood glucose as in accordance with accepted professional standards of practice since 4/21/25 (or more than 14 months ago); the facility did not adequately monitor signs/symptoms (s/s) of hypoglycemia (a medical… …
Based on observation, interview, and record review, the facility failed to follow their policy and procedure (P&P) for splint (medical device used to support, protect, and immobilize an injured bone, joint, or soft tissue) application and use for one of six sampled residents (Resident 58) when there was no evidence to show the application, removal, and assessment of Resident 58's splints.This failure had the potential for Resident 58 to develop joint stiffness, compartment syndrome (swelling that can occur and cause nerve problems and muscle damage), skin breakdown, and pressure injuries (localized area of damage to the skin and tissue).Findings:During a review of Resident 58's History and Physical (medical record summarizing a patient's past health information and current physical… …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 3.48% | 0.96× |
| 2024 | 3.70% | 0.93× |
| 2025 | 3.99% | 0.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction