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Complaint Investigation

Oakwood Healthcare Center

May 1, 2025 · Chico, CA · 375 Cohasset Rd
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 055656
Healthcare Facility
Oakwood Healthcare Center
Chico, CA  ·  View full profile →
Inspection Summary

OAKWOOD HEALTHCARE CENTER in CHICO, CA — inspection on May 1, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF656
Minimal harm or crystalized small size broken up rock substances under his [Resident 1's] pillow. Officer [name] of the [name] Few A review of Resident 1's drug screen test, that was required and requested by the Police Department, date affected

During the comprehensive assessment period the interdisciplinary team (IDT) members will assess the Resident's safety risk .as well as any other Resident specific safety risks.

Residents will be evaluated on admission, quarterly and whenever there is a change in condition to identify circumstances that pose a risk for the safety and wellbeing of the Resident. II.

During the quarterly care plan review, when there is a change in condition or if an accident or incident occurs that involves the Resident's safety, the Resident's safety risk will be reevaluated.

After a risk evaluation is completed, a Resident-centered care plan will be developed to mitigate safety risks factors.

1. A review of Resident 1's admission record showed he was initially admitted to the facility on [DATE] with diagnoses that included osteomyelitis of vertebra (a bone infection of the spine), end stage renal disease (kidney disease), diabetes (high sugars in the blood), heart failure, and paraplegia (weakness or paralysis in both legs), dialysis (artificial means of cleansing the bloodstream when kidneys can no longer filter the blood), and a dialysis shunt (where a vein and artery are surgically connected for direct permanent access to the bloodstream). Resident 1 was capable of making his own healthcare decisions.

A review of Resident 1's History and Physical (H&P) dated 3/12/21, reflected the facility's Medical Director (MD) documented that Resident 1's had a history of Meth Abuse [Methamphetamines, illegal drug in the form of [NAME] Meth and is highly addictive and causes feelings of euphoria and increased alertness and energy and can cause violence, paranoia, anxiety, rapid heart rate, irregular heartbeat, stroke, or even death].

055656

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055656 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Oakwood Healthcare Center 375 Cohasset Rd Chico, CA 95926

The facility failed to develop a SUD plan of care for Resident 1 with goals and interventions to mitigate potential accidents, hazards, and drug overdose. (Refer to

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHICO, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from OAKWOOD HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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