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Complaint Investigation

Shields Nursing Center

Inspection Date: November 19, 2025
Total Violations 1
Facility ID 555364
Location EL CERRITO, CA
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

Based on interview and record review, the facility failed to implement its policy and procedure for reporting

an outbreak of communicable disease (COVID-19) when; Administrator (Admin) did not report to the health department two cases among residents positive for COVID-19. This failure had the potential for spread of COVID-19 virus among residents and place residents at risk for infections.During an interview on 8/13/25 at 11:05 a.m. with Director of Nursing (DON), DON stated facility had two residents that was positive for COVID-19. DON stated these cases happened in July 2025. DON stated Resident 1 was transferred to the hospital for shortness of breath and tested positive for COVID-19.During a review of Resident 1's hospital notes, dated 7/30/25, indicated Resident 1 presents to the emergency department (ED) after an episode of hypoxia and decrease responsiveness. Resident 1 was found to be positive for COVID-19.During a review of Resident 2's Laboratory test result, dated 7/21/25, test result indicated Resident 2 was positive for COVID-19.During an interview on 8/13/25 at 11:40 a.m. with Administrator, Admin stated two residents tested positive for COVID-19 in July 2025. During an interview on 9/29/25 at 10:35 a.m. with Licensed Vocational Nurse/Infection Preventionist (IP), IP stated two residents were positive for COVID-19. IP stated facility did not report these cases to the local or state health department. IP stated facility received further instructions from the county public health nurse to report all or any resident's positive for COVID-19 to the health department. During a review of the facility's policy and procedure (P&P) titled, Outbreak of Communicable Diseases, dated September 2022, the P&P indicated, An outbreak is defined as one of the followings: a. One case of an infection that is highly communicable or has serious health implication. The Administrator is responsible for communicating data about reportable diseases to the health department.

Residents Affected - Some

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

SHIELDS NURSING CENTER in EL CERRITO, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 EL CERRITO, 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 SHIELDS NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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