Vineyard Post Acute
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
did not know the reason Resident 1 was not treated for her moderate to severe pain experienced from 8/19/25 through 8/21/25 and added that Resident 1 was eventually administered Morphine Sulfate for pain relief, around the time closer to the end of her stay in the facility (8/28/25-8/31/25).A review of the facility's policy titled, Administering Medications, dated 2019, indicated, Medications are administered in a safe and timely manner, and as prescribed. The director of nursing services supervises and directs all personnel who administer medications and/or have related functions. Medications administered in accordance with provider orders. If a dosage is believed to be inappropriate or excessive for a resident, or a medication has been identified as having potential adverse consequences for the resident or is suspected of being associated with adverse consequences, the person preparing or administering the medication, will contact
the prescriber, the resident's attending physician, or the facility's medical director to discuss the concerns.A
review of the facility's policy titled, Pain Assessment and Management, dated 2022, indicated, The purpose of this procedure are to help staff identify pain in the resident, and to develop interventions that are consistent with the resident's goals and needs and that address the underlying causes of pain. The pain management program is based on a facility-wide commitment to appropriate assessment and treatment of pain, based on professional standards of practice, the comprehensive care plan, and the resident's choices related to pain management. Pain Management is defined as the process of alleviating the resident's pain based on his or her clinical condition and established treatment goals. Pain management is a multidisciplinary care process that includes the following: a. Assessing the potential for pain; b. Recognizing
the presence of pain; c. Identifying the characteristics of pain; d. Addressing the underlying causes of the pain; e. Developing and implementing approaches to pain management; f. Identifying and using specific strategies for different levels and sources of pain; g. Monitoring for the effectiveness of interventions; and h.
Modifying approaches as necessary. Acute pain (or significant worsening of chronic pain) should be assessed after the onset and reassessed as indicated until relief is obtained. Contact the prescriber immediately if the resident's pain or medication side effects are not adequately controlled.A review of the facility's document titled, Job Description: Registered Nurse (RN) Prepared by: Human Resources (02-2024) indicated, The primary responsibility of your job position is to supervise the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility and may be required by the Director of Nursing (DON) and or/Assistant Director of Nursing (ADON) when applicable, to ensure that the highest degree of quality care is maintained at all times. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered. Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses notes to determine if the care plan is being followed.
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If continuation sheet
VINEYARD POST ACUTE in PETALUMA, 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 PETALUMA, 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 VINEYARD POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.