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Complaint Investigation

Santa Cruz Post Acute

November 14, 2025 · Santa Cruz, CA · 1115 Capitola Road
Citations 1
CMS Rating 2/5
Beds 149
Provider ID 056065
Healthcare Facility
Santa Cruz Post Acute
Santa Cruz, CA  ·  View full profile →
Inspection Summary

SANTA CRUZ POST ACUTE in SANTA CRUZ, CA — inspection on November 14, 2025.

Found 1 citation. Severity: Standard violations.

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

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

Review of the facility's Job Description for Van Driver, dated 8/2018 indicated an essential duty was to ensure the safe transportation of residents to scheduled medical appointments or other approved activities, resident outing, etc.

The van driver job description also indicated, Must have successfully completed CNA training and maintain all CE [continuing education] to maintain certification.

Review of the facility's Vehicle Safety Manual, revised [DATE] contained the following documents: Facility Vehicle Driver New Hire Checklist, Facility Vehicle Driver Training Program, and Pre-Trip Inspection Report.

Review of the Facility Vehicle Driver New Hire Checklist (undated) indicated the following are required for facility vehicle drivers and must be completed BEFORE driving facility vehicle: Must be a Certified Nursing Assistant; must be CPR Certified; required Facility Vehicle Training Program must be completed.

Review of the Facility Vehicle Driver Training Program (undated) indicated, In order to become a certified facility vehicle driver you must complete the Facility Vehicle Driver Training Program which includes the following: .- Vehicle Occupant Protection and Wheelchair Securement- Facility Driver Safety Policy .- Accident Procedures- Vehicle Maintenance Procedures and Pre-Trip Inspection Report- First Aid/Personal Protective Equipment for Facility Vehicle.

Review of the facility's Pre-Trip Inspection Report indicated, This report is to be completed before each usage of facility vehicle and signed below after vehicle is returned to facility.

Review of the AMF [NAME] America Protektor Installation Manual (wheelchair securement system), dated 10/2022 indicated, All persons who will install, use and/or maintain this product must read, understand and follow all warnings and instructions provided in this manual .

However nothing in this manual, and none of the safety devices installed on the product, substitute for proper training, careful operation and common sense.

The manual indicated a common wheelchair securement and occupant restraint system contains the following and are to be used as a complete system: retractor tie downs (securement strap that automatically tighten to secure the wheelchair in place), occupant lap belt, occupant shoulder belt, user instructions.

Review of the AMF [NAME] America User Manual, dated 3/2025 indicated specific items should be inspected carefully on a daily basis, including the functionality of the restraint system and floor and sidewall anchorages (fixed points installed directly on the floor or interior walls of the vehicle.

The manual also indicated the wheelchair has rear securement points (where straps to secure the wheelchair should be attached) and front securement points. It indicated, Once you have four straps attached, release the brakes on the wheelchair and check for movement.

Once secured the wheelchair should not move more than two (2) inches front-to-back or side-to-side.

Reapply the brakes.

The manual indicated, This product is not designed for use with only a pelvic securement [lap belt].

Always used only a lap/shoulder belt combination.

The manual also indicated, WARNING Failure to follow all the warnings and instructions in this manual can result in product malfunction and loss of control of the vehicle - potentially causing an accident, severe personal injury or death to the vehicle occupants, other motorists or pedestrians.

According to the Code of Federal Regulations, Title 49, Subtitle A, Part 38 (Americans with Disabilities Act [ADA] Accessibility Specifications for Transportation Vehicles), Subpart B - Buses, Vans and Systems, 49 CFR S 38.23(d)(7) indicated, Seat belt and shoulder harness.

For each wheelchair or mobility aid securement device provided, a passenger seat belt and shoulder harness, complying with all applicable provisions of part 571 of this title [Federal Motor Vehicle Safety Standards], shall also be provided for use by wheelchair or mobility aid users.

Such seat belts and shoulder harnesses shall not be used in lieu of a device which secures the wheelchair or mobility aid itself.

Facility ID:

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 CRUZ, 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 SANTA CRUZ POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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