Elk Grove Post Acute
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Based on interview and record review, the facility failed to protect the resident's rights for one of six sampled residents (Resident 1) when Certified Nurse Assistant (CNA) 1 kissed Resident 1's forehead without consent.This failure reduced the facility's potential to treat Resident 1 with dignity and respect.Findings:During a review of Resident 1's admission Record (AR), indicated, Resident 1 was admitted 9/25 with a diagnosis of wedge compression fracture (front part of the spinal bone collapses due to pressure, forming a wedge shape.)During a review of Resident 1's Minimum Data Set (MDS- a federally mandated resident assessment tool), dated 12/12/25 indicated Resident 1 has intact cognition.During a
review of Interdisciplinary conference (IDT - meeting where professionals from different fields come together to share knowledge and solve complex problems) dated 1/28/26 indicated, .allegation of inappropriate conduct by staff towards him (Resident 1). Additionally, IDT met with Resident 1 and gave more details including, .that a staff member kissed his forehead and push his behind during care.During an
interview with Resident 1 on 1/28/26 at 2:23 p.m. stated, I felt violated, trashed, helpless and disrespected.
I've never had anyone do that to me. Resident 1 further stated, he did not consent to the kiss on his forehead and there was no warning.During a telephone conversation on 1/28/26 at 4:32 p.m., with CNA 1, CNA 1 admitted that he kissed Resident 1's forehead without asking Resident 1's consent. CNA 1 further stated, he was providing incontinent care and was removing food off his bed.During an interview on 1/29/26 at 4:15 p.m. with the Director of Nursing (DON), the DON confirmed that residents at their facility have the right to be free from any form of abuse by staff, visitors and any individuals.During a review of the facility's policy and procedure titled, Resident Rights, dated, October 2025, indicated, .federal and state law guarantee certain basic rights to all residents.to be free from abuse, neglect, misappropriation of property and exploitation.
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:
Elk Grove Post Acute in Elk Grove, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Elk Grove, 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 Elk Grove Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.