Pleasant Hill Post Acute
PLEASANT HILL POST ACUTE in PLEASANT HILL, CA — inspection on August 15, 2025.
Found 14 citations. 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
informed Resident 63 has a pending active legal case against the facility's sister company so that on 7/14/25, MRD emailed Defense Council Team Member 3 (DCTM 3) on how to proceed with the resident's record request. On 7/15/25, DCTM 2 replied to MRD's email to DCTM 3 and stated DCTM 2 will reach out to Resident 63 via email regarding the release of his requested records. MRD was advised to provide the resident DCTM 2's contact number in case the resident called the facility another time. MRD stated on 7/30/25, Resident called the facility and asked for more specific records. MRD, with the assistance of the Administrator (ADM), emailed DCTM 1, who responded on the same day to resident's call, confirmed and clarified specific records requested. A review of facility's email from DCTM 1, dated 8/14/25, indicated on 7/31/25, DCTM 1 sent Resident 63 a hard copy of all his requested medical records. A review of the facility policy and procedure (P&P) titled, Access to Personal and Medical Records, revised date May 2023, indicated, Each resident has the right to access and/or obtain copies of his or her personal and medical records upon request. A resident may submit his/her request either orally or in writing for access to personal or medical information pertaining to him/her.
The information will be provided in the form and format requested by the resident as long as the records are available in that format. If the format requested by the resident is not available, then the records will be provided in a form and format agreed to by the resident.
The resident may obtain a copy of his or her personal or medical record within two business days of an oral or written request .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/15/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pleasant Hill Post Acute
1625 Oak Park Boulevard Pleasant Hill, CA 94523
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-15.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide activities to meet all resident's needs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
this procedure is to ensure medication safety by accurately accounting for the resident's medications, routs and dosages upon admission or readmission to the facility.
Under general guidelines 1.
Medication reconciliation is the process of comparing pre-discharge medications to post-discharge medications by creating an accurate list.
Under Steps in Procedure .5.
Review the list carefully to determine if there are discrepancies/conflicts.According to the National Library of Medicine, undated, Medication reconciliation is the process of comparing a patient's medication orders to all of the medications that the patient has been taking.
This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. It should be done at every transition of care in which new medications are ordered or existing orders are rewritten.
Furthermore, this process comprises five steps: (1) develop a list of current medications; (2) develop a list of medications to be prescribed; (3) compare the medications on the two lists; (4) make clinical decisions based on the comparison; and (5) communicate the new list to appropriate caregivers and to the patient.https://www.ncbi.nlm.nih.gov/
Facility ID:
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-15.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-08-15.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-15.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0813 during a standard health inspection conducted on 2025-08-15.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-15.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0912 during a standard health inspection conducted on 2025-08-15.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.
Federal health inspectors cited PLEASANT HILL POST ACUTE in PLEASANT HILL, CA for a deficiency under regulatory tag F-F0919 during a standard health inspection conducted on 2025-08-15.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure that a working call system is available in each resident's bathroom and bathing area.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 14 deficiencies cited during this inspection of PLEASANT HILL POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-23.