Based on interview, and record review, the facility failed to ensure one of five sampled residents (Resident 1), who had diagnosis of dementia (loss of memory and other mental abilities severe enough to interfere with daily life), had a history of fall (unintentionally coming to rest on a lower-level surface) on 6/1/25, and was assessed at a high fall risk on 6/1/25, received care needs and services to prevent a fall on 6/19/25 by failing to ensure:Licensed Vocational Nurse (LVN) 2 monitored (observed and checked) and promptly (quickly/rapidly/immediately) redirected Resident 1 (direct Resident 1 to a new or different place or purpose) when Resident 1 got up from Resident 1's wheelchair unassisted while Resident 1 was at Nurses' Station 1 on 6/19/25 [at around 10 am].As a result, on… …
F744 citations in California
Dementia care · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F744 less often than its own record predicts
0.41 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F744.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F744 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 implement the facility's dementia care policy by failing to provide dementia and dementia care annual competencies to one of three sampled staff (LVN 2)This deficient practice has a potential to place residents with a diagnosis of dementia at risk for not receiving appropriate care.During a concurrent interview and record review on 8/7/2026 at 12:58 p.m. with the Director of Staff Development (DSD), the DSD stated that dementia and dementia care training are conducted upon hire, annually, and on an as needed basis. The DSD stated that staff watch a video and after the video staff will take a dementia posttest to evaluate understanding of the video. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 0.59× |
| 2024 | 0.10% | 0.46× |
| 2025 | 0.08% | 0.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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