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Clearwater Healthcare Center: Abuse Policy Failures - CA
The inspection was triggered by a complaint....
Latest reports, citations, and penalties from CMS data
The inspection was triggered by a complaint....
Someone is supposed to make those calls....
Federal inspectors cited the facility following a complaint investigation completed November 13, 2025....
The violations were documented during a complaint inspection completed November 19, 2025....
No record that a physician was called....
The resident is identified in inspection records only as Resident #1....
Inspectors assigned it Complaint Number 2664258....
The November 13 inspection was a complaint investigation, meaning someone had already raised concerns before inspectors walked through the door....
No entry documenting the elopement....
The two of them got him there together....
The inspection, conducted November 13, 2025, found that Springs of Richmond had failed to ensure residents were free from significant medication errors....
The citation, issued November 13, 2025, falls under a category of deficiency that federal regulators treat as foundational to nursing home care....
The deficiency falls under the category of nursing and physician services, and the gap it describes is a foundational one....
That detail emerged during a November 2025 complaint inspection at the facility....
The designation of immediate jeopardy is not routine language....
The November 19 inspection was triggered by a complaint....
Instead of the traditional bariatric mattress the bed was designed to work with, Resident B had a low air loss mattress inside it....
Inspectors classified the deficiency as isolated, meaning it did not appear to be a pattern running through the entire operation....
The inspection at Advanced Rehabilitation & Healthcare of Live Oak, completed in November 2025, turned on a single piece of paper....
Federal inspectors visited the facility on November 13, 2025, following a complaint....