1. Based on observation, interview, and record review, the facility failed to ensure staff followed accepted infection control practices, including required hand hygiene and glove changes between distinct care tasks, during gastrostomy tube (GT - a tube that is placed directly into the stomach through an abdominal wall incision for administration of food, fluids, and medications) site treatment and medication administration for one (1) of four sampled residents (Resident 8). This failure had the potential to expose Resident 8 at risk for contamination of the GT tract and potential introduction of pathogens during medication administration, increasing the risk for avoidable infection, unnecessary treatment and possible hospitalization. 2. …
F880 citations in California
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F880 less often than its own record predicts
0.95 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F880 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: A. Follow its policy and procedure titled, Infection Prevention and Control Program, last reviewed on 11/6/2025, for one of three sampled residents (Resident 1) by failing to: 1. Ensure that the third-party's (an external company or individual specializing in air and water safety to the facility) recommendations indicated in the Annual Analytical Validation Viable Legionella Bacteria Report (a document that confirms the effectiveness of a facility's Water Management Program [ongoing plan to control and minimize hazards in building water systems primarily to prevent growth of harmful bacteria such as Legionella bacteria {naturally found in [NAME], but becomes a health risk when they grow in man-made water systems… …
Based on observation, interview, and record review, the facility failed to ensure staff followed safe infection control practices when: 1. One Licensed Vocational Nurse (LVN 3) dropped a Multivitamin/Multimineral Liquid Supplement (a multidose bottle, containing drinkable mix of vitamins and minerals that helps people get important nutrients when they don't get enough from food) lid on the floor, attached the lid back on to the multidose bottle, and returned the medication bottle to the medication cart. 2. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 6.00% | 1.16× |
| 2024 | 5.72% | 1.01× |
| 2025 | 5.85% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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