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Complaint Investigation

Asbury Park Nursing & Rehabilitation Center

Inspection Date: August 14, 2025
Total Violations 1
Facility ID 555673
Location SACRAMENTO, CA
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Inspection Findings

F-Tag F0925

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and record review, the facility failed to maintain an effective pest control program for a census of 134 residents, when flies were observed in the residents' rooms.This failure decreased the facility's potential to maintain a pest free environment for the residents.Findings:A review of Resident 1's admission Record, dated 8/14/25, indicated Resident 1 was admitted to the facility in 2025.A

review of Resident 2's admission Record, dated 8/14/25, indicated Resident 2 was admitted to the facility in 2021.During a concurrent observation and interview on 8/14/25 at 9:46 a.m. with Resident 1, Resident 1's room was observed. Resident 1 confirmed and stated there were flies in the room all the time. During a concurrent observation and interview on 8/14/25 at 9 a.m. with Resident 2, Resident 2's room was observed. The sliding door was opened and had no screen. Resident 2 confirmed and stated there were flies flying around the room.During an interview on 8/14/25 at 9:48 a.m. with Certified Nursing Assistance (CNA), CNA confirmed the sliding door in Resident 1 and Resident 2's room was opened and had no screen.During a concurrent observation and interview on 8/14/25 at 10:50 a.m. with the Administrator (ADM), ADM stated she had a blue light zapper to zap flies and bugs in her office.During a concurrent

interview and record review on 8/14/25 at 11 a.m. with the Director of Maintenance (DOM), the May, June, and July 2025 invoices for pest control services were reviewed. DOM confirmed there was a fly issue in the building and stated 14 out of 16 sliding doors currently had no screening doors.During an interview on 8/14/25 at 11:43 a.m. with the Director of Nursing (DON), DON confirmed there were concerns regarding flies and expected staff to ensure the sliding doors were closed until maintenance install the screens.A

review of the facility's policy titled, Pest Control, dated 5/2008, indicated, Our facility shall maintain an effective pest control program. This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents.

Residents Affected - Some

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:

📋 Inspection Summary

ASBURY PARK NURSING & REHABILITATION CENTER in SACRAMENTO, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 SACRAMENTO, 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 ASBURY PARK NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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