Garden City Healthcare Center
GARDEN CITY HEALTHCARE CENTER in MODESTO, CA — inspection on November 24, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.