Clearwater Healthcare Center
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
being legally blind, needed 50% assistance for stairs, lived by herself and HHA was not established before leaving the facility. 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 REDACTED], 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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CLEARWATER HEALTHCARE CENTER in STOCKTON, 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 STOCKTON, 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 CLEARWATER HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.