Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F842 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F842 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F842 takes of citations nationally.
Share of California citations2.92%
Of every deficiency written in California in 2025, this is the portion that was F842.
California2.92%
National2.24%
Share of all citations that were F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F842 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.
L · Immediate jeopardy, widespreadApril 13, 2023
Based on observation, interview, and record review, the facility failed to ensure all facility residents' records were safeguarded against unauthorized use and access, when two Licensed Vocational Nurses (LVN 1 and LVN 15) were observed using their own personal laptops to access resident health records in the facility. This failure had the likelihood to cause a breach of the residents' sensitive protected health information (PHI - any identifiers such as name, date of birth, social security number and medical record number and personal health records which include medical diagnoses, medications, and treatments). …
Based on interview and record review, the facility failed to ensure Resident 1 ' s admission record showed all diagnoses from the hospital were included in Resident 1's admission record to the facility.
This deficient practice resulted in the incomplete and inaccurate history of medical diagnoses that prevented Resident 1 from receiving comprehensive and anticipatory care. On [DATE], Resident 1 suffered an unwitnessed fall in the facility and expired (died ) in the facility on [DATE].
Findings:
A review of Resident 1 ' s hospital records titled, Physician Hospitalist Discharge and Transfer Instruction (PHDTI), dated [DATE], indicated Resident 1 was admitted to the hospital due to a fall at home. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on interview and record review, the facility failed to re-evaluate the risk of elopement (any situation where a resident leaves the facility premises or a designated safe area without the staff's knowledge and necessary supervision) for one of one sampled resident (Resident 6) after Resident 6 returned to the facility from an episode of absence without leave (AWOL - person missing or not where they are supposed to be) on 8/10/2026. This deficient practice had the potential for staff to be unaware of Resident 6's risk of elopement and could increase the risk of another AWOL or elopement.Findings: During a review of Resident 6's admission Record (AR), the AR indicated Resident 6 was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder (a mental condition… …
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