F913 in California. Pick another state for the same tag.
Against expectation — 2025
California cites F913 more often than its own record predicts
Versus expected share6.86×
6.86 times the share F913 takes of citations nationally.
Share of California citations0.01%
Of every deficiency written in California in 2025, this is the portion that was F913.
California0.01%
National0.00%
Share of all citations that were F913.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F913 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.
K · Immediate jeopardy, patternSeptember 16, 2021
Based on observations, interviews, and record reviews, the facility failed to ensure that resident rooms had direct access to an exit corridor when four of four Resident rooms (rooms 15, 17, 19 and 21) in the red zone (rooms with confirmed COVID -19 a contagious virus) had been drilled shut.
This had the potential to result in three residents (Resident 1, Resident 2 and Resident 3) who were dependent on staff, being trapped in their rooms in the event of a fire, causing severe [CONDITION(S)], permanent disability or even death.
Findings:
During an observation on September 16, 2021, at 9:20 AM, four Resident rooms, (Room 15, Room 17, Room 19 and Room 21) were noted to have doors that had been drilled closed with a screw. …
B · No harm, potential for minimal, patternFebruary 7, 2025
Based on observation. interview, and record review the facility failed to ensure four of 40 resident's bedrooms (Rooms 4, 5, 16, and 17) had direct access to the exit corridor without passing through another resident's bedroom.
This deficient practice had the potential to affect the privacy, health and safety of the residents in the room due lack of direct access to an exit during an emergency.
Findings:
During tour of the facility on 2/7/2025 at 11:05 AM, Rooms 4, 5, 16, and 17 did not have direct access into an exit corridor. Residents in rooms [ROOM NUMBERS] had to enter room [ROOM NUMBER], and rooms [ROOM NUMBERS] had to enter room [ROOM NUMBER] to get to the nearest exit corridor. …
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