Casa Dorinda
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Every Shift; DAY, EVE, NIGHT. Chartable task in POC.During a review of Resident 1's Resident Progress Notes, dated 9/28/25, the Progress Notes indicated, At 1630 (4:30 p.m.), resident yelling for help and RN
on duty immediately ran to resident's room and found resident lying on his right side on carpet outside the entrance of his bathroom. Resident was incontinent of bladder, appears resident got out of bed. No call light and/or bed alarm sounded.During a review of Resident 1's Resident Progress Notes, dated 9/30/25, the Progress Notes indicated, Post Fall documentation; Two falls within a 48-hour period.RN noted that his bed alarm/call light not activated.Contributing factors for occurrence include: poor safety awareness and loss of balance/gait problems, toileting status, Improper use of safety alarms.During a review of Resident 1's hospital History & Physical, (H&P) dated 9/28/25, the H&P indicated, Reason for admission: Mechanical ground level fall with displaced acute right hip fracture.Plan: Proceed with surgery tomorrow for open reduction, internal fixation of his right hip fracture.
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Casa Dorinda in Santa Barbara, 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 Santa Barbara, 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 Casa Dorinda or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.