The Ellison John Transitional Care Center
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
physician. The DON stated the facility P&P was not followed when Resident 1's physician was not notified of the delay in calling 911 potentially resulting in a delay of care when a drastic change occurred in the resident. During a review of the facility P&P titled, Notification of Changes, last reviewed 12/3/2024, the P&P indicated, The facility informs . the resident's physician. when there is an accident resulting in injury, changes involving life threatening conditions, adverse treatment consequences or transfer or discharge of
the resident. DEFINITIONS.A need to alter treatment significantly: A need to stop . or commence a new form of treatment to deal with a problem. GUIDELINES: 1.The facility notifies the physician of . a. An accident involving the resident which results in injury and has the potential for requiring physician intervention; . c. A need to alter treatment significantly . d. A decision to transfer or discharge the resident from the facility. During a review of the facility P&P titled, Emergency Services, last reviewed 12/3/2024,
The P&P indicated, The facility provides emergency services required for alleviation of severe pain, or immediate diagnosis and treatment of unforeseen medical conditions. During a review of the facility P&P titled, First Aid Treatment, last reviewed 12/3/2024, the P&P indicated, Residents who experience minor injuries shall be treated at the facility. If the injuries cannot be treated with basic Red Cross first aid intervention, the resident will be transferred to the hospital for further treatment. GUIDELINES . 4. In the case of life-threatening injuries or situations, the goal is patient stabilization until the EMS arrives as indicated by the physician when the resident's condition does not respond to the interventions implemented at the facility. 7. In addition to providing basic first aid intervention, contact the emergency medical system (EMS) or advanced medical personnel immediately for the following situations: . k. Suspected head, neck or spine injury. l. Suspected broken bone or open fracture .
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Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/12/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Ellison John Transitional Care Center
43830 10th Street West Lancaster, CA 93534
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
stated that RN 1 should have reported Resident 3's allegation of abuse to the Ombudsman within 2 hours thru a phone call and the facility should have faxed the written report within 24 hours as it placed Resident 3 at risk for further potential abuse. During a review of the facility's policy and procedure (P&P) titled, Abuse Prohibition and Prevention Program, last reviewed on 12/3/2024, the P&P indicated that the facility shall ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of property, are reported immediately, but no later than 2 hours after
the allegation is made, or not later than 24 hours to the administrator of the facility and to other officials including the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities in accordance with the state law through established procedures.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/12/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Ellison John Transitional Care Center
43830 10th Street West Lancaster, CA 93534
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
including adequate supervision and assistive devices, consistent with a resident's needs, goals, care plan and current professional standards of practice in order to eliminate the risk, if possible, and, if not, reduce
the risk of an accident .Position change alarms: Alerting devices intended to monitor a resident's movement. The devices emit an audible signal when the resident moves in a certain way. Types of position change alarms include chair and bed sensor pads . During a review of the facility P&P titled, Free of Accident Hazards / Supervision / Devices, last reviewed 12/3/2024, the P&P indicated, The facility provides
an environment that is free from accident hazards over which the facility has control, and each resident receives adequate supervision and assistive devices for eachresident to prevent avoidable accidents.
GUIDELINES.2. An effective way for the facility to avoid accidents is to develop a culture of safety and commit to implementing systems that address resident risk and environmental hazards to minimize the likelihood of accidents.A SYSTEMS APPROACH.1. Processes in a facility's interdisciplinary systematic approach may include: . c. Implementation of individualized, resident-centered interventions, including adequate supervision and assistive devices, to reduce individual risks related to hazards in the environment; . Implementation of Interventions.Implementation refers to using specific interventions to try to reduce a resident's risks from hazards in the environment. 1. The process includes communicating the interventions to all relevant staff, assigning responsibility, . documenting interventions, . and ensuring that
the interventions are put into action.
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THE ELLISON JOHN TRANSITIONAL CARE CENTER in LANCASTER, 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 LANCASTER, 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 THE ELLISON JOHN TRANSITIONAL CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.