Based on interview and record review, the facility failed to provide timely dental services and referral for outside care and treatment for one of three residents (Resident 1). In addition, the facility failed to provide clinical oversight of the social services department to ensure that dental services were being provided. As a result, Resident 1 had experienced tooth pain which lasted for over five months, developed infection of teeth, and was unable to eat the food she enjoyed. Findings: A review of Resident 1 's Admission Record dated 5/8/23, indicated the resident had been admitted to the facility on [DATE] with diagnoses to include end stage heart failure and was receiving palliative care/hospice (comfort care). …
F790 citations in California
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F790 more often than its own record predicts
1.74 times the share F790 takes of citations nationally.
Of every deficiency written in California in 2025, this is the portion that was F790.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F790 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 observation, interview, and record review, the facility failed to follow-up on a treatment recommendation by dental provider on 4/27/2027 for surgical extraction of teeth with full mouth upper and full lower dentures for one of two sampled residents (Resident 12) investigated under nutrition care area. This failure had the potential to result in inability to chew food efficiently and further weight loss for Resident 12. Findings During a review of Resident 12's Face Sheet (the front page of the chart that contains a summary of basic information about the resident), the Face Sheet indicated the facility admitted Resident 12 to the facility on [DATE] with diagnosis that included diabetes mellitus (DM-a disorder characterized by difficulty in blood sugar control and poor wound… …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 1.31× |
| 2024 | 0.16% | 1.28× |
| 2025 | 0.21% | 1.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction