Madera Rehabilitation & Nursing Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
During a review of the facility’s P&P titled. “Safety and Supervision of Residents,” dated 1/24, the P&P indicated, “…2. Safety risks and environment hazards are identified on an ongoing basis through a combination of employee training, employee monitoring, and reporting processes; QAPI [Quality Assurance and Performance Improvement-systematic, data-driven, and proactive approach to improving the quality of care and quality of life in healthcare settings] reviews of safety and incident/accident data; and a facility-wide commitment to safety at all levels of the organization. 3. When accident hazards are identified, the facility staff shall review the events in an attempt to identify the root-cause and possible associated hazards and develop strategies to mitigate or remove the hazards to
the extent possible. 4. When safety risks can not be completely eliminated, such as the risk for falls and related injuries, the facility staff shall develop strategies to mitigate the risk for injuries that could result from
these events. 5. The facility staff and QAPI committee shall review interventions to mitigate hazards or risk for injuries and modify as deemed necessary…”
During a review of facility’s policy and procedure (P&P) titled, “Accidents and Incidents-Investigating and Reporting,” dated 7/19, the P&P indicated, “…The nurse supervisor/charge nurse and/or the department director or supervisor shall promptly initiate and document investigation of the accident or incident… Incident/accident reports will be reviewed… for trends related to accident or safety hazards in the facility and to analyze any individual vulnerabilities.”
During a review of facility’s P&P titled, “Unusual Occurrence Reporting,” dated 12/23,
the P&P indicated, “… 1. Our facility will report the following events to appropriate agencies… or other calamities that damage the facility or threaten the welfare, safety or health of residents… “
During a review of the facility’s P&P titled, “Resident Rights,” dated 2/23, the P&P indicated, “… Federal and state laws guarantee certain rights to all residents of this facility.
These rights include the resident’s rights to: a dignified existence; be treated with respect, kindness and dignity… be informed of safety…”
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
MADERA REHABILITATION & NURSING CENTER in MADERA, 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 MADERA, 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 MADERA REHABILITATION & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.