West Covina Healthcare Center
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
nurses should have followed the neurological assessment frequency as indicated in the facility's Policy and Procedure (P&P) titled Fall Management Program. During a concurrent record review and interview with the DON on 1/2/2026 at 12:30 PM, the facility's P&P titled Neurological Assessment, dated 10/2010, was reviewed. The P&P indicated a neurological assessment should be done following a fall or other accident or injury involving head trauma or a suspected head injury. The P&P indicated staff should always include frequent vital signs when assessing neurological status. The P&P further indicated that staff should document the neurological assessment's date and time, the names and titles of those performing it, all assessment data, the resident's tolerance or refusal with reasons and interventions, and the signature and title of the person documenting in the resident's medical record. The DON stated Residents 1 and 2's unwitnessed physical altercation on 12/20/2025 indicated the neurological assessment should have been done. During a review of the facility's P&P titled Fall Management Program, dated 3/13/2021, the P&P indicated the neurological check frequency was every 15 minutes for an hour, then every 30 minutes for an hour, then hourly for four hours, and finally every four hours for 66 hours or until discontinued by the physician, or after 72 hours if the resident was stable without neurological symptoms.
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WEST COVINA HEALTHCARE CENTER in WEST COVINA, 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 WEST COVINA, 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 WEST COVINA HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.