Lodi Creek Post Acute
Inspection Findings
F-Tag F0697
F 0697
Provide safe, appropriate pain management for a resident who requires such services.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview, and record review, the facility failed to provide timely pain management for one of three sampled residents (Resident 1) when Resident 1's scheduled pain medication was administered one hour and 45 minutes after its scheduled time. This failure had the potential to cause Resident 1 increased pain and psychosocial distress.A review of Resident 1's admission RECORD, the
record indicated Resident 1 was admitted to the facility with a diagnoses which included Chronic Obstructive Pulmonary Disease (COPD, long term lung disease that causes airflow blockage and shortness of breath) and major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest). A review of Resident 1's clinical document titled, Care Plan Report, initiated on 12/2/25, indicated, .Resident [Resident 1] is at risk for PAIN has chronic pain r/t [related to] osteoarthritis [joint disease in which the tissues in the joint breakdown over time and the bones rub against each other].Resident is at risk for depression, anxiety, sleep problems.secondary to unrelieved pain, arthritis, depression.Interventions/Tasks.Administer medication as ordered. A review of Resident 1's Medication Administration Record, (MAR, a list of Resident 1's ordered medications and when they were administered or held) dated 12/1/25 through 12/31/25, indicated, .Meloxicam [medication to reduce inflammation and pain] .Give 1 tablet by mouth one time a day for osteoarthritis. The medication was scheduled to be administered at 8:00 AM daily. During an interview on 12/30/25 at 8:13 AM with Family Member (FM) 1, FM 1 stated Resident 1's scheduled pain control medication was administered late which caused Resident 1 distress and unmanaged pain. During a concurrent interview and record review on 12/30/25 at 2:20 PM with the Medical Records (MR), Resident 1's medication administration history was reviewed. The MR confirmed Resident 1's meloxicam medication dose was schedule for 8:00 AM and was administered at 9:46 AM on 12/4/25. The audit further indicated Resident 1's Sertraline (medication for depression) was scheduled to be administered at 8:00 AM and was administered at 9:46 AM. During a concurrent interview and record review on 12/30/25 at 2:40 PM with licensed nurse (LN) 1, Resident 1's clinical record was reviewed. LN 1 stated there was no documentation in Resident 1's clinical record that explained the late medication administration and she did not remember why it was not given on time. During an interview on 12/30/25 at 3:02 PM with the Assistant Director of Nurses (ADON), the ADON stated all medication must be given one hour before or one hour after the scheduled time. The ADON further stated if medication was not administered timely the physician should have been informed. The ADON stated delayed medication administration could have negatively affected Resident 1's pain control. The ADON further stated it was important to adhere to the scheduled time frame so the medications therapeutic effect was maintained. A
review of a facility policy titled, Administering Medications, revised 4/19, indicated, .Medications are administered in a safe and timely manner, and as prescribed.Medication administration times are determined by resident need and benefit, not staff convenience. Factors that are considered include.enhancing optimal therapeutic effect of the medication.Medications are administered within one (1) hour of their prescribed time.
Residents Affected - Few
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:
LODI CREEK POST ACUTE in LODI, 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 LODI, 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 LODI CREEK POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.