Channel Islands Post Acute
Inspection Findings
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Based on observation, interview and record review, the facility failed to provide sufficient staffing to provide care for the residents.This failure has the potential to affect the resident quality of care.A review of All Facilities Letter (AFL) dated 3/17/21, the AFL summary indicated In accordance with HSC sections 1276.5 and 1276.65, and W & I section 14126.022, this notice provides updated guidelines for facility requirements
during state audits for compliance with the 3.5 DHPPD staffing requirements, of which a minimum of 2.4 DHPPD shall be performed by certified nurse assistants (CNAs).During a concurrent interview and record
review on 8/19/25 at 4:30 p.m with the Director of Nursing (DON) the Census and Direct Care Service Hours Per Patient Day (DHPPD - a staffing metric for skilled nursing facilities (SNFs), for the dates of 7/24/25 - 8/6/25 was reviewed. On 7/6/25 (Saturday) the actual DHPPD was 3.03 and for Certified Nursing Assistant (CNA) was 1.71.On 7/2/25 (Sunday) the actual DHPPD was 2.93 and for CNA was 1.82. On 8/1/25 (Friday) the actual DHPPD for CNA was 2.24.On 8/2/25 (Saturday) the actual DHPPD is 2.73 and for CNA was 1.65.On 8/3/25 (Sunday) the actual DHPPD is 2.58 and for CNA wss 1.65.On 8/4/25 (Monday)
the actual DHPPD for CNA was 2.08.On 8/5/25 (Tuesday) the actual DHPPD for CNA is 2.13.On 8/6/25 (Wednesday) the actual DHPPD for CNA is 2.02. And DON validated the findings.During an interview on 08/12/25 at 1:34 p.m. with the Director of Staff Development (DSD) DSD stated that the facility has developed and conducted Certified Nursing Assistant (CNA) classes where graduates can be hired under contract as a CNA for the facility. The DSD also stated that CNA from a sister facility help out when there is insufficient staffing. Supervisors or administrative staff who are licensed CNA also help out when there is not enough staff. Family emergencies are the common reasons when staff call in on the last minute. During
a record review of facility fall logs, one (1) resident had a fall on 7/27/25, two (2) residents had a fall on 8/2/25, one (1) resident had a fall on 8/2/25. There were two (2) residents who had a fall on 8/4/25. There were two (2) hospital transfers on the dates of 7/26/25 and 8/05/25. There were no reported missed or medication errors within the alleged time frame. During a review of Policies and Procedures (P&P) titled Nursing Services: Staffing: Adequate dated 03/22, the Nursing Services: Staffing, Adequate indicates in part, 2. The facility maintains adequate staff on each shift to assure that the residents needs are met.
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:
Channel Islands Post Acute 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 Channel Islands Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.