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Complaint Investigation

Shields Nursing Center

November 20, 2025 · El Cerrito, CA · 3230 Carlson Boulevard
Citations 2
CMS Rating 4/5
Beds 45
Provider ID 555364
Healthcare Facility
Shields Nursing Center
El Cerrito, CA  ·  View full profile →
Inspection Summary

SHIELDS NURSING CENTER in EL CERRITO, CA — inspection on November 20, 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

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During a concurrent interview and record review on 9/29/25 at 4:20 p.m. with DON, LVN 1 and Administrator (Admin), Resident 1's Progress Notes, dated 1/10/25 through 1/17/25, and laboratory reports were reviewed. Resident 1's Progress Notes, dated 1/16/25, indicated LVN 1 received an order from the physician the previous day. DON stated she was not aware that Resident 1's STAT lab order for UA was endorsed from shift to shift. DON stated she did not know that Resident 1's STAT lab orders was received a day before Resident 1 was transferred to the hospital. DON stated the progress notes did not reflect the time upon which the physician order for STAT labs was received.During a review of the facility's P&P titled, Lab and Diagnostic Test Results-Clinical Protocol, dated November 2018, the P&P indicated, The staff will process test requisitions and arrange for tests. A nurse will identify the urgency of communicating with the Attending Physician based on physician request, the seriousness of any abnormality, and the individual's current condition.

During a review of the facility's P&P titled, Pain-Clinical Protocol, dated October 2022, the P&P indicated, If pain symptoms have resolved or there is no longer an indication for pain medication, the multidisciplinary team and physician shall try to discontinue or taper analgesic medications to the extent possible.

During a review of the facility's P&P titled, Intake, Measuring and Recording, dated October 2010, the P&P indicated, The purpose is to accurately determine the amount of liquid a resident consumes in a 24-hour period.

Review the resident's care plan to assess for any special needs of the resident. At the end of your shift, total the amounts of all liquids the resident consumed.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Shields Nursing Center

3230 Carlson Boulevard El Cerrito, CA 94530

SUMMARY STATEMENT OF DEFICIENCIES

Based on interview and record review, the facility failed to ensure one (Resident 1) of three sampled residents' medical records was accurately documented and systematically organized when Licensed Vocational Nurse (LVN1) did not document in Resident 1's medical records, the physician order to obtain STAT laboratory test for urinalysis (UA) and straight catheterization to include the date and time the order was received in accordance with accepted professional standards and practices.This failure had the potential to cause inaccurate documentation and confusion of care and treatment provided for Resident 1.

During an interview on 9/29/25 at 3:25 p.m. with LVN 1, LVN 1 stated an order for a STAT lab test for UA, blood work and straight catheter to obtain UA specimen were received for Resident 1 a day before Resident 1 was transferred to the hospital. LVN 1 stated she attempted to obtain urine specimen by straight catheterizing Resident 1 twice but there was no urine. LVN 1 stated she endorsed the STAT order for UA to the night shift nurse. LVN 1 stated her mistake was that she did not notify the physician of failed attempts to obtain UA specimen. LVN 1 stated Resident 1 complained of pain after receiving routine Tylenol. LVN 1 stated she did not inform the physician that attempts to obtain urine specimen failed. LVN 1 stated she did not informed physician that Resident 1 continued to complain of pain. LVN 1 said she did not document order for straight catheter. LVN 1 stated when she returned the next day, Resident 1 had low grade fever and low oxygen saturation. LVN 1 stated she called the doctor and received an order to transfer Resident 1 to hospital.

During a concurrent interview and record review on 9/29/25 at 4:20 p.m. with DON, LVN 1 and Administrator (Admin), Resident 1's Progress Notes, dated 1/10/25 through 1/17/25 and laboratory reports dated 1/16/25, were reviewed.

Lab report for STAT UA specimen was received 1/16/25 at 10:15 a.m. Resident 1 Progress Notes, dated 1/16/25 at 00:20 indicated that LVN1 received orders from the physician the previous day. DON stated she was not aware that Resident 1's STAT lab order for UA was endorsed from shift to shift. DON stated she did not know that Resident 1's STAT lab orders was received a day before Resident 1 was transferred to the hospital. DON stated the progress notes did not reflect the time upon which physician order for STAT labs was received.

Facility ID:

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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