Tracy Nursing And Rehabilitation Center
TRACY NURSING AND REHABILITATION CENTER in TRACY, CA — inspection on November 12, 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 the facility P&P indicated, .Policy.Properly trained personnel will be available to provide basic life support, including cardiopulmonary resuscitation (CPR), to those requiring emergency care, prior to arrival of emergency medical personnel, and subject to accepted professional guidelines, advance directives, and physician orders.facility staff will provide basic life support, including CPR.if.absence of a valid, Do Not Resuscitate/DNR order.In a cardiopulmonary emergency, immediately initiate, code blue emergency response to facilitate additional assistance in obtaining, implementing, and activating emergency services.
Facility staff should engage in concurrent/coordinated emergency response activities, to include assessing individual (i,e. quickly evaluating responsiveness, breathlessness, pulselessness, etc.), activating 911, positioning individual for CPR, initiating chest compressions and performing rescue efforts as indicated, retrieving crash cart, verifying code status, and preparing records for emergency transfer as indicated.Initiate chest compression when pulse is absent and continue until EMS arrives, patient begins moving, or consciousness is regained.
The DON acknowledged that the facility's P&P was not followed by nursing staff.
The DON stated her expectation was that because Resident 1 was Full Code, CPR should have been initiated immediately.
The DON further stated that the decision to perform CPR was not up to the nursing staff, as Resident 1's representative had already signed the POLST indicating that Resident 1 was Full Code.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.