Yuba City Post Acute

In the surveyor’s words

From the most serious findings on record at Yuba City Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF835Oct 14, 2021

  Based on interview and record review, the Administrator (Admin) failed to effectively ensure the facility met the needs of the residents when: 1. Quality Assurance and Performance Improvement Program, committee identified and developed action plans to correct the deficient practices in the delivery of quality nursing care when Director of Nursing (DON) did not develop action plans, lesson plans and training in order to educate, evaluate and reevaluate the quality of the care and services that the nursing staff were providing to the residents (Residents 20, 29, and 99). 2. […]

• No harm, potential for more than minimal, widespreadF867Oct 14, 2021

  Based on interview and record review, the facility failed to ensure that their Quality Assurance and Performance Improvement plan (QAPI) committee identified and developed action plans to correct the deficient practices in the delivery of quality nursing care, prior to the survey findings. These failures resulted in a substandard quality of nursing care and actual harm to one resident (Resident 99). These failures had the potential to further affect the health, safety and well-being of all of the residents in the facility and leave them vulnerable to poor quality nursing care. Findings: On 10/14/2021 at 1:15 PM, a concurrent interview and review of the facility's QAPI binder was conduced with the Admin. […]

• No harm, potential for more than minimal, patternF759Nov 13, 2025

  Based on observation, interview, and record review the facility failed to ensure the medication error rate was below 5% for 2 of 6 sampled residents (Resident 40 and Resident 4) when: 1. Registered Nurse (RN) B did not administer Resident 4's oral inhalation medication as ordered by prescriber.2. RN G administered Resident 44's medication not in accordance with the standards of practice.As a result, 2 errors were identified out of 26 opportunities for error during the observation of medication administration; the facility medication error was 7.69%.Findings:1. […]

• No harm, potential for more than minimal, patternF761Nov 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure medications were stored properly as specified by the manufacturers when the temperature of a medication refrigerator was out of range below the freezing point.This failure resulted in liquid medications to crystalize and become ineffective.Findings:During a review of facility's policy and procedure (P&P) titled, Storage of Medications, reviewed October 2024, the P&P indicated, drugs and biologicals are stored in a safe, secure orderly manner including drugs being stored in locked compartments under proper temperature and light. […]

• No harm, potential for more than minimal, patternF689Aug 30, 2024

  Based on observation, interview, and record review, the facility failed to provide adequate supervision based on individual resident needs, for three out of three sampled residents (Residents 34, 50, and 28) when: 1. Facility staff was aware Resident 34 wandered (roamed from place to place) in and out of other resident rooms. 2. Facility staff was aware Resident 50 wandered in and out of other resident rooms. 3. Facility staff was aware that Resident 28 demonstrated daily episodes of increased agitation and volatility exhibited by yelling, cursing, and throwing items. This failure had the potential to impact resident safety, privacy, dignity, and placed residents at an increased risk for resident-to-resident altercations. Findings: 1. […]