Based on interview and record review, the facility failed to ensure periodic routine visits at least every 60 days by the physician and/or Nurse Practitioner (NP) for one of two sampled residents (Resident 1). This failure for Resident 1 not being assessed by his physician and/or NP for three months (between 6/22/20 to 9/29/20), resulted in Resident 1's Activities of Daily Living (ADLs), fundamental skills which are required to independently care for oneself such as eating, bathing, and mobility, declining, and resulted in Resident 1 developing a facility-acquired pressure ulcer (PU): Sore on the skin) located at the coccyx (tailbone). …
F712 citations in California
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F712 more often than its own record predicts
1.04 times the share F712 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F712.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F712 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 ensure Medical Doctor (MD) 1 completed and documented the resident's history and physical (H&P- a comprehensive, clinician-documented assessment completed at the time of admission or start of care that combines resident history and physical exam findings to establish a baseline for clinical care and guide ongoing treatment) for three of three residents (Residents 81, 76, and 168) in accordance with the facility's policy and procedure titled, Physician Visits. This deficient practice had the potential to result in incomplete or inaccurate clinical assessments which could delay in identifying medical conditions, and inadequate development of appropriate treatment plans due to the absence of an MD completed H&P. Findings: 1. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.33× |
| 2024 | 0.07% | 0.63× |
| 2025 | 0.13% | 1.04× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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