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Complaint Investigation

Pacific Coast Post Acute

Inspection Date: September 24, 2025
Total Violations 1
Facility ID 555090
Location SALINAS, CA
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Inspection Findings

F-Tag F0627

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

go home on 6/7/25. On 6/23/25, the DON emailed Social Service notes and wrote: The discharge was planned for a future date, however, it turned unplanned on June 7, 2025 when Resident 1 informed the nurse that he will be going home on that day, June 7, 2025 and was picked up by his son. The documents provided by the DON did not show documentation that Resident 1 requested to be discharged on 6/7/25.During an interview with the SSD on 9/11/25 at 3:28 p.m., SSD stated her practice was to document

the name of the shelter or destination in the progress notes prior to a resident's discharge. The SSD acknowledged there was no documented place of discharge for Resident 1 on 6/7/25 because the discharge happened on a Saturday when she was not on site. The SSD further stated that Resident 1 was not supposed to be discharged on 6/7/25 and that the discharge happened due to a miscommunication with the resident.Review of the undated facility's policy titled Discharge Summary and Plan indicated When

a resident's discharge is anticipated, a discharge summary is created and the discharge plan is finalized to assist the resident with plans for care after discharge.7) A member of the IDT reviews the final discharge plan with the resident and family at least twenty-four (24) hours before the discharge is to take place. 8) The final discharge plan of care shows what arrangements have been made for the resident regarding: a.) where the resident will live after leaving the facility.

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📋 Inspection Summary

PACIFIC COAST POST ACUTE in SALINAS, 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 SALINAS, 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 PACIFIC COAST POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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