F741 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F741 more often than its own record predicts
Versus expected share1.19×
1.19 times the share F741 takes of citations nationally.
Share of California citations0.06%
Of every deficiency written in California in 2025, this is the portion that was F741.
California0.06%
National0.05%
Share of all citations that were F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F741 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.
K · Immediate jeopardy, patternNovember 15, 2024
44055
Based on observation, interview, and record review the facility failed to ensure the psychiatrist's (medical practitioner specializing in the diagnosis and treatment of mental illness) services were provided to residents who were receiving psychotropic (a drug or other substance that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behavior) medication for four out of six sampled residents (Residents 2, 17, 19, and 51). Resident 2 had a diagnosis of major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest) and Residents 17, 19, and 51 had diagnoses of dementia (a progressive state of decline in mental abilities), The facility failed to:
1. …
D · No harm, potential for more than minimal, isolatedAugust 13, 2026
Based on interview, medical record review, and facility P&P review, the facility failed to ensure the residents with behavioral health disorders were receiving appropriate care for two of five sampled residents (Residents 12 and 26) reviewed for unnecessary medications. * The facility failed to ensure the nonpharmacological interventions were provided prior to the administration of Resident 12's bupropion (anti-depressant medication) and paroxetine (anti-depressant medication). * The facility failed to ensure the nonpharmacological interventions were provided prior to the administration of Resident 26's zolpidem (sedative-hypnotic medication) and lorazepam (anti-anxiety medication). …
B · No harm, potential for minimal, patternDecember 19, 2019
Based on interview and record review, the facility failed to provide skills competency checklist (a list of skills the employee is required to perform and the level of performance this is expected for each skill) upon hire for 7 of 7 sampled staff; three Licensed Vocational Nurses (LVN 4, 5, and 6) and four Certified Nursing Assistants (CNA 1, CNA 2, CNA 3, and CNA 4) upon hire to ensure they have the skills to perform the tasks required of them.
This deficient practice could have the potential to lead to an unsafe work environment and increase resident injury related to lack of proper training. …
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