Based on interview and record review, the facility failed to ensure medical supervision of the care for one of three sampled residents (Resident 399), who was newly admitted to the facility and had diagnosis of diabetes mellitus (DM - is a disorder in which the body does not produce enough or respond normally to insulin [a hormone that controls the amount of sugar in the blood], causing blood sugar (glucose) levels to be abnormally high). Attending Physician 1 (MD 1), who was a new doctor for Resident 399 at the facility, did not perform a thorough review of Resident 399's discharge documents from General Acute Care Hospital 1 (GACH 1) including diagnoses and medications to meet the resident's diabetic care upon Resident 399's admission to the facility on [DATE]. …
F710 citations in California
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F710 less often than its own record predicts
0.28 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F710.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F710 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 medication orders to meet the needs of one of five sampled residents (Resident 1), when Resident 1's anticoagulant (blood thinner to prevent clots) medication was not reordered after his external fixator (device to stabilize a broken bone) surgery was canceled. This failure resulted in Resident 1 being diagnosed with a deep vein thrombosis (DVT, blood clot in a deep vein) of his left leg that required hospitalization and an unnecessary invasive procedure (placement of an IVC [inferior vena cava]) filter (a device implanted in a major vein to prevent blood clot in leg from traveling to lungs). …
Based on interview and record review, the facility failed to ensure a physician or the facility's Medical Director promptly provided medical care to one of three sampled residents (Resident 1) when Resident 1's attending physician did not respond to Resident 1's change of condition of increased heart rate and fever on 7/4/2026. This failure had the potential for Resident 1 not to receive timely care and treatment and worsen Resident 1's condition. Findings: During a review of Resident 1's Face Sheet (FS), the FS indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including left shoulder osteoarthritis (a progressive disorder of the joints, caused by a gradual loss of cartilage), hypertension (HTN-high blood pressure), and type 2 diabetes mellitus (DM-a disorder… …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.62× |
| 2024 | 0.07% | 0.92× |
| 2025 | 0.02% | 0.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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