Based on interview and record review, the facility failed to ensure one of four staff members (Social Services Coordinator [SSC]), who worked as an uncertified nursing assistant (NA) from 5/1/2023 through 7/31/2024, did not exceed a 4-month employment as an NA and did not perform duties and tasks reserved for certified staff.This deficient practice had the potential for the SSC to provide incompetent care to the assigned residents, which could affect the residents' safety and well-being.Findings:During a review of the Social Services Coordinator's (SSC) Personnel Action Form (PAF), dated 11/8/2022, the PAF indicated the SSC was initially hired to the facility's housekeeping department on 11/8/2022.During a review of the SSC's PAF, dated 4/1/2023, the PAF indicated the SSC became an… …
F728 citations in California
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F728 less often than its own record predicts
0.29 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F728 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.
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.02% | 0.31× |
| 2024 | 0.03% | 0.46× |
| 2025 | 0.02% | 0.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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