Marquis Care at Shasta: Resident Restrained During Care - CA
That is what inspectors documented at Marquis Care at Shasta following a complaint inspection completed in September 2025. The resident, identified in records only as Resident 1, had delusions that caused him fear. He would sometimes begin hitting at staff without warning during direct personal care. The facility's own protocol, confirmed by a licensed nurse, was straightforward: if he became upset or started hitting, staff were to stop what they were doing and come back later.
CNA I did not do that.
Instead, according to CNA G, who was present in the room, CNA I held Resident 1's hands down to his chest while the two aides were changing his bed linens. CNA G told inspectors she witnessed it directly. She told CNA I to leave the room. She then brought in another staff member to finish the bed change.
CNA G also reported CNA I immediately.
The licensed nurse who spoke with inspectors on September 10 was clear about what the standard was. "I do confirm no staff should hold Resident 1's hands or continue care if he is really upset or hitting," she said. "They should walk away and come back later."
That instruction existed because Resident 1's condition was known. His delusions were documented. His fear responses during care were not a surprise to staff. The protocol around his behavior was not informal guidance passed between aides — it was something the licensed nurse could describe precisely and confirm on the spot when asked.
What CNA I did ran directly against it.
The administrator and director of nursing both confirmed to inspectors that CNA I had not treated Resident 1 with respect and dignity. They confirmed it was a violation of his rights. They said holding a resident's hands down for any amount of time, for any reason, was unacceptable and would not be tolerated.
The violation was cited under F0557, which covers a resident's right to be treated with respect and dignity regardless of their behavior. Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted the violation affected few residents.
That classification matters in how the federal inspection system categorizes and responds to what happened. What it does not change is what Resident 1 experienced: a staff member pressing his hands to his chest while he was already a person whose world included delusions and fear, during the kind of close physical contact that already put him on edge.
The facility's own staff understood that. CNA G understood it well enough to intervene in the moment, remove her colleague from the room, find someone else to help, and report what she saw before the day was over. The licensed nurse understood it. The administrator and director of nursing confirmed it when inspectors asked.
The question the inspection record does not answer is how long CNA I had been caring for Resident 1, and whether this was the first time.
CNA G was there this time. She acted. The report does not describe who was present during other shifts, other bed changes, other moments of direct personal care when Resident 1's fear rose and his hands came up.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marquis Care At Shasta from 2025-09-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 20, 2026 · Our methodology
MARQUIS CARE AT SHASTA in REDDING, CA was cited for violations during a health inspection on September 12, 2025.
That is what inspectors documented at Marquis Care at Shasta following a complaint inspection completed in September 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.