Vineyards At Fowler
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
hospital if the medication was not effective. Resident 6 received two medication doses for chest pain without effect and Resident 6 was transferred to the acute care hospital. Resident 6 was his own RP, and his mother was the emergency contact. The DON stated the facility did not have to notify Resident 6's emergency contact of the transfer to the acute care hospital because Resident 6 was his own RP. During a
review of Resident 6's AR, dated 8/22/25, the AR indicated Resident 6 was a[AGE] year old male, admitted to the facility on [DATE REDACTED] with diagnoses: anemia in chronic kidney disease (a condition in which your blood has a lower-than-normal amount of red blood cells that carry oxygen from your lungs to the rest of your body), severe protein-calorie malnutrition a nutritional status in which reduced availability of nutrients leads to changes in body composition and function), atherosclerotic ( hardening of your arteries) heart disease without angina pectoris (chest pain), ischemic cardiomyopathy ( the heart's decreased ability to pump blood properly), other pulmonary embolism (a blood clot that blocks and stops blood flow to an artery in the lung), asthma (a chronic lung disease caused by inflammation and muscle tightening around the airways making
it hard to breathe), pleural effusion (the buildup of excess fluid between the layers of the pleura outside your lungs), and end stage renal disease (permanent kidney failure that requires a regular course of dialysis or a kidney transplant).During an interview on 8/22/25 at 1:20 p.m. with the Administrator (ADM) in the ADM office, the ADM stated the RP or Emergency Contact should have been notified when residents have a change of condition and transferred to the acute care hospital regardless of resident's mental status. During
a phone interview n 8/27/25 at 8:52 a.m. with the Licensed Vocational Nurse (LVN), the LVN stated the RP/family/emergency contact should have been notified when a resident had a change of condition and transferred to the acute care hospital. The LN stated it was important to notify the RP/family/emergency contact so they would know of the resident's change of condition and allow the ability to visit or contact the residents at the hospital. The LN stated the risk of not notifying the RP/family/emergency contact could result in delayed care or worsened medical condition if the hospital required consent for procedures and the RP/family/emergency contact were unaware resident had a change of condition and in the hospital. During
a review of the facility's policy and procedure (P&P) titled, Change in a Resident's Condition or Status, dated 2/2021, the P&P indicated, .4. Unless otherwise instructed by the resident, a nurse will notify the resident's representative when: .b. there is a significant change in the resident's physical, mental, or psychosocial status; e. it is necessary to transfer the resident to a hospital/treatment center.5. Except in medical emergencies, notifications will be made within twenty-four (24) hours of a change occurring in the resident's medical/mental condition or status.During a review of the facility's P&P titled, Transfer and Discharge (including AMA), dated 12/17/24, the P&P indicated, .12. Emergency Transfers/Discharges-initiated by the facility for medical reasons to an acute care setting such as a hospital, for the immediate safety and welfare of a resident (nursing responsibilities unless otherwise specified) .g.
Provide a notice of transfer.to the resident and representative as indicated.
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VINEYARDS AT FOWLER in FOWLER, 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 FOWLER, 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 VINEYARDS AT FOWLER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.