Plumas District Hospital Dp/Snf

In the surveyor’s words

From the most serious findings on record at Plumas District Hospital Dp/Snf, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Feb 10, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of each resident when:The facility failed to ensure the safe disposal and storage of controlled substances when one controlled substance was not double locked according to facility's controlled substance storage policy.The facility failed to ensure the safe and effective use of medication when the policy for medication storage was not implemented for one medication cart. […]

• No harm, potential for more than minimal, isolatedF610Feb 10, 2026

  Based on observation, interview, and record review, the facility failed to investigate suspicions of abuse for one resident of eight sampled residents (Resident 6) when:Facility reported that Resident 6's son verbally assaulted Resident 6 and coerced her to give him money and did not investigate.Facility reported that when Resident 6's son visited the facility during the months of January 2026 and February 2026, he yelled and made other residents feel uncomfortable and did not investigate.These failures caused Resident 6 mental anguish and had the potential to cause mental anguish to the rest of the facility residents.During a record review of facility policy titled Abuse and Neglect Prevention and Reporting (undated), indicated Abuse is the willful infliction of injury, unreasonable… […]

• No harm, potential for more than minimal, isolatedF657Feb 10, 2026

  Based on record review and interview, the facility failed to revise and implement comprehensive care plans to reflect changes in condition and identified needs for 3 of 8 residents when reviewed for care planning (Residents 2, 6, and 8). These failures had the potential to result in inconsistent care, unmanaged symptoms, and unmet resident needs.Findings: During a record review on 2/9/26 at 3:00 p.m. of Resident 8's admission record, the resident was admitted to the facility on [DATE] with diagnoses including muscle weakness, difficulty walking, dysfunction of the bladder, pressure ulcer of the sacral region, stage 4, chronic pain syndrome, and osteomyelitis. During an observation on 2/9/26 at 10:00 a.m., Resident 8 was observed with an indwelling urinary catheter in place. […]

• No harm, potential for more than minimal, isolatedF690Feb 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure appropriate management of an indwelling urinary catheter for 1 of 8 residents reviewed for urinary catheter care (Resident 8) when the facility failed to obtain or maintain a physician order for the catheter, failed to assess and document the continued medical necessity for catheter use, failed to include catheter care and monitoring interventions in the comprehensive care plan, and failed to document routine catheter care. This deficient practice placed Resident 8 at risk for urinary tract infection, urethral trauma, obstruction, and other catheter-related complications. During a record review on 2/9/26 at 3:00 p.m. […]