Based on interview and record review, the facility did not have a written transfer agreement in place with a General Acute Care Hospital (GACH) when the facility ordered a resident (1) to transfer to GACH 2 for medical and psychological treatment. This failure could potentially place residents at risk for inadequate continuity of care and treatment. Findings: Resident 1 was admitted to the facility on [DATE] with a diagnosis of suicidal ideations (thoughts about or a plan to commit suicide) and chronic respiratory failure (a condition that makes it difficult to breath on one ' s own) requiring a tracheostomy (a surgical procedure that creates an opening in the neck to provide an alternative airway for breathing) and ventilator (a machine that helps patients breathe) per the facility's… …
F843 citations in California
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F843 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F843.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F843 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, the facility failed to ensure there was a written transfer agreement with a local General Acute Care Hospital (GACH) when the facility failed to provide a copy of a current transfer agreement upon request. This failure could potentially place residents at risk for inadequate continuity of care and treatment. Findings: During an interview on 3/12/25, at 11:35 a.m., with the Director of Nursing (DON), a request for a copy of the facility's transfer agreement with a local hospital was made. During a follow up interview on 3/12/25, at 2:06 p.m., with the DON, the DON was not able to provide a copy of a transfer agreement with a local hospital and stated she would ask the facility's consultants for assistance. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2024 | 0.01% | 0.33× |
| 2025 | 0.01% | 0.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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