Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F836 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F836 more often than its own record predicts
Versus expected share1.69×
1.69 times the share F836 takes of citations nationally.
Share of California citations0.11%
Of every deficiency written in California in 2025, this is the portion that was F836.
California0.11%
National0.07%
Share of all citations that were F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F836 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.
H · Actual harm, patternApril 16, 2018
Based on interview and record review, the facility failed to report an outbreak (two or more residents exhibiting symptoms of an illness) at the facility involving 11 of 106 residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11), and three of 157 staff members (Social Worker (SW), Certified Nurse Assistant (CNA) 1, and Licensed Vocational Nurse (LVN) 5), to the California Department of Public Health (CDPH) within 24 hours as mandated by regulations.
This failure resulted in the delay of the investigation by CDPH. The facility first learned about the infection on (MONTH) 2, (YEAR), and reported the infection to CDPH on (MONTH) 6, (YEAR), four days later. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on interview and record review, the facility failed to comply with the state code of regulations when Licensed Vocational Nurse (LVN) 1 initiated supplemental oxygen (medical treatment that delivers extra oxygen to the lungs) for one of three sampled residents (Resident 1) on 8/22/2026 without registered nurse (RN) supervision and direction.This failure placed Resident 1 at risk for inappropriate care and worsening medical condition.During a review of Resident 1's admission Record (AR), the AR indicated the facility admitted Resident 1 on 7/8/2025 and readmitted on [DATE] with diagnoses that included dementia (a progressive state of decline in mental abilities), protein-calorie malnutrition (a lack of enough protein and total calories to meet the body's metabolic demands), and… …
B · No harm, potential for minimal, patternJune 16, 2026
Based on interview and record review, the facility failed to meet State licensure requirements for Staff Development -Confidentiality of patient information as outlined in the California Code of Regulations, Title 22 when they failed to effectively provide an ongoing educational program to ensure staff possess the necessary skills and knowledge regarding the confidentiality and appropriate use of Protected Health Information (PHI).This failure resulted in a staff member accessing hospital records out of personal interest, not for patient care purposes and the breach of PHI.Findings:An investigation into a facility reported incident confirmed that a staff member admitted to using the facility computer to access her ex-husband's hospital records for personal reasons.The facility report… …
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