Pleasant Hill Post Acute
Inspection Findings
F-Tag F0573
F 0573 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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 .
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Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/15/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Pleasant Hill Post Acute
1625 Oak Park Boulevard Pleasant Hill, CA 94523
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0578
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.
F-Tag F0636
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.
F-Tag F0638
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.
F-Tag F0658
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.
F-Tag F0679
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.
F-Tag F0757
F 0757 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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/
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Facility ID:
If continuation sheet
F-Tag F0759
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.
F-Tag F0760
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.
F-Tag F0812
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.
F-Tag F0813
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.
F-Tag F0880
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.
F-Tag F0912
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.
F-Tag F0919
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.
PLEASANT HILL POST ACUTE in PLEASANT HILL, 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 PLEASANT HILL, 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 PLEASANT HILL POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.