Ararat Nursing Facility
Inspection Findings
F-Tag F0606
F 0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Level of Harm - Minimal harm or potential for actual harm
Based on interview and record review, the facility failed to complete a background check for three of three sampled employee files (Licensed Vocational Nurse 1 or LVN1, Registered Nurse 1 or RN1, and Certified Nurse Assistant 1 or CNA1).This deficient practice has the potential to place residents at risk for abuse, neglect, exploitation, or misappropriation of resident property.Findings:During a review of LVN 1's Employee file, Employee file indicated LVN 1 was hired on 6/5/2021. The employee file indicated no documented evidence of criminal background checks. LVN 1 is currently employed in the facility. During a review of RN 1's Employee file, Employee file indicated RN 1 was hired on 3/18/1997. The employee file indicated no documented evidence of a criminal background check. RN 1 is currently employed in the facility. During a
review of CNA 1's Employee file, the Employee file indicated CNA 1 was hired on 2/16/1998. The employee file indicated no documented evidence of a criminal background check. CNA1 is currently employed in the facility. Durin an interview with the Director of Staff Development (DSD) on 8/12/2025 at 9:10 a.m., the DSD stated, LVN 1, RN 1, and CNA 1 did not have a background check in their employee files because prior to 2014, the facility did not require new hires to have a background check. DSD stated, she was not working in
the facility at that time and does not know what happened prior to 2014. The DSD stated she will submit a background check for the staff. The DSD stated all staff in the facility should have a background check because they need to be cleared from any abuse prior to start of work in the facility.During an interview with
the Administrator (ADMIN) on 8/12/2025, ADMIN stated the Facility did not conduct any background checks prior to the year 2014 but was not able to provide a policy to corroborate his statement. During an interview with Director of Nurses (DON) on 8/13/2025 at 4:10 p.m., the DON stated a background check was immediately ordered for LVN 1, RN 1, and CNA 1. The DON stated it is important to have background checks on all staff working in the facility because they need to be cleared of any criminal findings and also be cleared from any abuse.A record review of the facility's policy and procedure titled, Staff Screening, dated August 1, 2023, indicated the facility will utilize reasonable and prudent criminal background screening and reference checks for prospective staff, contractors/consultants, registry/temporary staff, and volunteers. Prior to employment or commencement of a contract, the Facility will verify and document or obtain a copy, if applicable, of the following information that may include, but is not limited to: criminal background checks.
Residents Affected - Some
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:
Ararat Nursing Facility in MISSION HILLS, 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 MISSION HILLS, 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 Ararat Nursing Facility or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.