Clearwater Healthcare Center
CLEARWATER HEALTHCARE CENTER in STOCKTON, CA — inspection on December 30, 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.
Inspection Findings
Review of Resident 1's EHR titled, NOTICE OF TRANSFER/DISCHARGE, dated 12/15/25, indicated .Effective Date: 12/17/25.Transfer/Discharge to: Home. with boxes checked off which indicated, .The transfer or discharge is appropriate because your health has improved sufficiently so that you no longer require services provided to the facility., with handwritten box option checked off which indicated Per Preference.
During a concurrent interview and record review on 12/30/25, at 2:42 p.m., with the Director of Nursing (DON), Resident 1's Notice of Transfer/Discharge was reviewed.
The DON confirmed the document which indicated Resident 1's preference to be discharged .
The DON reviewed Resident 1's PT Discharge summary dated [DATE], and confirmed that Against Medical Advice, was indicated as the discharge reason.
The DON stated if the facility knew that Resident 1 would be discharged home by herself it would have been considered discharge against medical advice.
The DON further stated the risk of an unsafe discharge would be the higher risk of readmission, going back to the hospital or injuries.
During an interview on 12/30/25, at 2:59 p.m., with the Administrator (ADM), the ADM stated it was his expectation for the staff to have verified referrals before a resident was discharged .
The ADM further stated the facility should have checked if the agency was in communication with the resident, if they could accept the resident, and if the agency could not accept, the facility should have made arrangements for other agencies.
The ADM stated the risk of an unsafe discharge would be the resident's risk of rehospitalization.
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