Diamond Ridge Healthcare Center
DIAMOND RIDGE HEALTHCARE CENTER in PITTSBURG, CA — inspection on December 29, 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
During a review of Resident 1's admission Record, dated 12/29/25, indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included asthma (asthma is a long-term lung disease that makes it difficult to breathe.
The tubes that carry air in and out of the lungs become swollen, narrow, and produce extra mucus, similar to trying to breathe through a very thin or clogged straw).
During a review of the clinical record for Resident 1, the progress notes documented by Licensed Vocational Nurse (LVN) 1 dated 5/14/25 at 4:27 p.m., indicated, .Respiratory: Difficulty breathing noted.
Nurse noted increasing respiratory distress.
Shortness of breath noted . (respiratory distress is when the body struggles to get enough oxygen and is working much harder to breathe, making the resident feel very short of breath and scared).
During an interview with the Licensed Vocational Nurse (LVN) 1 on 12/29/25 at 4:20 p.m., LVN 1 stated she did not call Resident 1's physician and RP when the resident had respiratory distress.
During a concurrent interview and record review with the Director of Nursing (DON) on 12/29/25, at 3:55 p.m., DON could not find the documentation that the physician and Resident 1's RP were informed of the resident's episode of respiratory distress. DON further stated that the facility had to notify the physician and the RP when the resident had a change in condition to ensure that Resident 1 received the proper treatment needed.
Also stated the RP had to be informed of the resident's change in condition.
During a review of the facility's policy and procedure (P&P) titled, Notification of Changes, Reviewed and Revised on 12/19/2022, the P&P indicated, Policy: The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification.
The facility must inform the resident, consult with the resident's physician and/or notify the resident's family member or legal representative when there is a change requiring such notification.
Circumstances requiring notification include: 2.
Significant change in the resident's physical, mental or psychosocial conditions such as deterioration in health, mental or psychosocial status.
This may include a. life threatening conditions .
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.
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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.