Camino Ridge Post-acute
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
interview with Registered Nurse (RN) A on 10/27/2025 at 5:03 p.m., RN A confirmed that there was no OOP order for Resident 1 for him to leave the facility. A review of the facility's undated policy and procedure titled Therapeutic Leave (Resident absences for purposes other than required hospitalization) Policy indicated .The nurse will obtain an order from the practitioner specifying approval of a therapeutic leave. 2.
A review of Resident 1's care plan of self-care deficit as evidenced by : needs limited to extensive assistance with ADLs (basic self-care tasks like eating, bathing, and dressing etc.) related to C2-C5 laminectomy and fusion [a posterior cervical surgery to relieve spinal cord compression by removing the lamina (the back part of the vertebrae) from C2 to C5], COPD (a progressive lung disease that causes breathing difficulties, leading to symptoms like shortness of breath, chronic cough, wheezing, and fatigue), stimulant dependence, schizoaffective disorder, psychosis, chronic viral hepatitis C, anxiety, chronic pain syndrome, depression, muscle spasms, insomnia, neuralgia/neuritis, BPH. The interventions include one-person physical assist required for ambulation and locomotion. During a concurrent record review and
interview with the DON on 10/27/2025 at 4:09 p.m., the DON reviewed Resident 1's care plan and confirmed that Resident 1 needs one person assisting with ambulation and locomotion and that it was not safe for him to walk out of the facility by himself. A review of the facility's policy and procedure titled Care Plans, Comprehensive Person-Centered, Revised March 2022, indicated .The interdisciplinary team (IDT),
in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident. 3. During a phone interview with Certified Nursing Assistant (CNA) on 10/23/2025 at 2:44 p.m., CNA D stated that Licensed Vocational Nurse (LVN) B was looking for Resident 1 for his noon medication around 11:30 p.m., and found out that Resident 1 was not in the facility on September 14, 2025. Both of them looked everywhere and could not find Resident 1, and a staff member called the police. During a phone interview with LVN B on October 23, 2025, at 4:07 p.m., LVN B stated he was the nurse on duty that day and provided care for Resident 1. LVN B further stated that he did not know when Resident 1 left the facility and that Resident 1 did not take his scheduled noon medication on September 14, 2025. During a phone interview with the Receptionist on October 28, 2025, at 3:20 p.m., she stated that on September 14, 2025, between 11:00 a.m. and 12:00 p.m., she observed a person wearing an orange shirt walk out of the facility with a wristband (an armband used for positive resident identification) without checking out with her. She immediately attempted to follow the individual but was unable to locate the person outside the facility building. The Receptionist stated she was unsure which resident had left the facility. She also confirmed that it was her responsibility to monitor the front entrance and ensure residents checked out when leaving the facility. During a phone interview with Licensed Vocational Nurse (LVN) A on 10/29/2025 at 11:25 a.m., LVN A stated that staff conducted a room-to-room search to identify which resident wearing an orange shirt was missing. She further stated that
she and other staff members also went to nearby stores to search for Resident 1. A review of the Mountain View Police Department Report Receipt dated on 9/14/2025 indicated the type of incident Found Missing Person.During an interview with the DON on 10/27/2025 at 11:40 a.m., the DON confirmed that the facility did not report this incident to CDPH. A review of the facility policy and procedures titled Unusual Occurrence Reporting, Revised December 2007, indicated that . As required by federal or state regulations, our facility reports unusual occurrences or other reportable events which affect the health, safety, or welfare of our residents, employees or visitors.Other occurrences that interfere with facility operations.
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CAMINO RIDGE POST-ACUTE in MOUNTAIN VIEW, 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 MOUNTAIN VIEW, 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 CAMINO RIDGE POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.