Diamond Ridge Healthcare Center
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure the physician and responsible party (RP) were promptly notified for one of three sampled residents (Resident 1) when Resident 1 had respiratory distress (difficulty breathing). This failure had the potential for Resident 1 to develop further exacerbated medical complications and/or need for emergency medical treatment at the acute hospital. During a review of Resident 1's admission Record, dated 12/29/25, indicated Resident 1 was admitted to the facility on [DATE REDACTED] 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.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
DIAMOND RIDGE HEALTHCARE CENTER in PITTSBURG, 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 PITTSBURG, 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 DIAMOND RIDGE HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.