Garden City Healthcare Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
stubborn guy who does not want help with things but when she found him, he told her he needed help. The FF stated she left Resident 1 with her son and dog while she walked back home to get her car. The FF further explained she returned and loaded Resident 1 into her vehicle. The FF stated Resident 1 was confused and disorientated and was in and out in terms of his ability to recognize her or understand the situation. The FF stated Resident 1 appeared dehydrated and was unbalanced. The FF stated it would have been a long walk and a lot of strenuous physical activity for him to get to the location she found him at. The FF stated she estimated she found Resident 1 around 8:30 a.m. as she had called his son (RP 1) at 8:39 a.m. and he was coming to meet her. The FF stated she didn't know what would have happened to him if
she hadn't found him and she was walking a different path home that went behind the building and was very grateful she did because she found Resident 1. The FF stated she felt Resident 1 would have continued to deteriorate while sitting on the bench. The FF explained it could have been much worse as the area was sketchy, and the roads were busy, and Resident 1 could have been hit by a car. A review of a facility policy and procedure (P&P) titled Wandering and Elopements, revised 3/19, the P&P indicated, .The facility will identify residents who are risk of unsafe wandering and strive to prevent harm while maintaining
the least restrictive environment for residents .If identified as at risk for wandering, elopement, or other safety issues, the resident's care plan will include strategies and interventions to maintain the resident's safety.If a resident is missing, initiate the elopement/missing resident emergency procedure.determine if the resident is out on a authorized leave or pass.if the resident was not authorized to leave, initiate a search of
the building (s) and premises; and.If the resident is not located, notify the administrator and the director of nursing services, the resident's legal representative, the attending physician, law enforcement officials, and as necessary v
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GARDEN CITY HEALTHCARE CENTER in MODESTO, 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 MODESTO, 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 GARDEN CITY HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.