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Complaint Investigation

Crescent City Care Center

February 25, 2026 · Crescent City, CA · 1280 Marshall Street
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 056296
Healthcare Facility
Crescent City Care Center
Crescent City, CA  ·  View full profile →
Inspection Summary

CRESCENT CITY CARE CENTER in CRESCENT CITY, CA — inspection on February 25, 2026.

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

FF0583
Resident Rights Deficiencies

sampled residents (Resident 2), when the facility physician conducted Resident 2's medical

embarrassed and unsatisfied with physician services, constituted a breach of Resident 2's confidentiality and may have adversely affected the quality of the diagnostic process. A review of Resident 2's admission Record (a facility demographic), dated 2/25/26, indicated Resident 2 was admitted to the facility on [DATE], with diagnoses including morbid obesity (an abnormally high body mass), depression (persistent, overwhelming feelings of sadness) and epilepsy (a chronic brain disorder characterized by recurrent, unprovoked seizures caused by abnormal electrical activity).A review of Resident 2's Minimum Data Set (MDS, an assessment tool), dated 1/27/26, indicated Resident 2 had little to no cognitive impairment.A review of a facility document titled, Resident Council Minutes, dated 1/20/26, indicated all participating residents, want to know if they can see a new physician.During a record review of electronic correspondence received from [Resident Advocate] to the agency on 2/09/26, multiple complaints were made on behalf of anonymous facility residents.

This included allegations that the facility physician had conducted group examinations in the dining area, where resident privacy and confidentiality was not honored.During a phone interview on 2/25/26 at 12:45 p.m. with the facility physician [PHY], he stated he had many residents to see in the facility, who were not always in their rooms and were in other areas.

The PHY stated he was only able to come to facility once a month and had to, chase down the residents where they are.

The PHY stated he did recall conducting a few medical examinations among a group of residents in the dining area in January of 2026.

During an interview on 2/25/26 at 2:24 p.m., Resident 2 stated she was, bothered, when PHY examined her in the dining room, and it made her feel embarrassed. Resident 2 also stated PHY, barely spent any time, with facility residents.A review of the facility policy and procedure (P & P) titled, Physician Visits and Physician Delegation, dated 12/19/22, indicated, the physician should.review the resident's total program of care including medications and treatments at each visit.A review of facility P & P titled, Resident Rights, dated 2/19/22, indicated, the resident has a right to personal privacy and confidentiality.personal privacy includes accommodations, medical treatment, written and telephone communications, personal care, visits.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

056296 02/25/2026

Crescent City Care Center 1280 Marshall Street Crescent City, CA 95531

frustrated.

The OTA stated she then informed both the Social Services Director and a nurse (whose

care plans was conducted.

The ADM and DON acknowledged no care plan for suicidal ideation or

review of the facility policy and procedure (P & P) titled, Behavioral Health Services, dated 12/19/22, indicated, the facility utilizes the comprehensive assessment process for identifying and assessing a resident's mental and psychosocial status and providing person-centered care.

This process includes.ongoing monitoring of mood and behavior, care plan development and implementation.if a behavioral contract is used, it will only be used with residents with the capacity to understand.facility staff will implement person-centered care approaches designed to meet the individual goals and needs of each resident.may include, but are not limited to.offering verbal reassurance especially in terms of keeping resident safe.A review of facility P & P titled, Suicide Prevention, dated 12/19/22, indicated, it is the policy of this facility to act quickly and appropriately if a resident expresses thoughts of suicide.all staff members will immediately report any suicidal ideation to the resident's charge nurse and facility social worker.the resident will not be left alone.objectively document appropriately the resident's mood and behaviors, as well as all actions taken, in the medical record.

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 CRESCENT CITY, 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 CRESCENT CITY CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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