Bayshire Yorba Linda Post-acute
Inspection Findings
F-Tag F0684
F 0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and medical record review, the facility failed to ensure the necessary care and services were provided to one of four sampled residents (Resident 4). * The facility failed to ensure Resident 4's orthostatic blood pressure was obtained per the physician's order. This failure had the potential to negatively impact the resident's health and safety.Findings: Medical record review for Resident 4 was initiated on 11/25/25. Resident 4 was admitted to the facility on [DATE REDACTED]. Resident 4's diagnosis included orthostatic hypotension. Review of Resident 4's Order Listing Report showed a completed order status dated 11/18/25, to check the orthostatic blood pressure and pulse rate daily (lying, sitting and standing positions) for three days. Review of Resident's 4 MAR for November 2025 showed the following:- dated 11/18/25, blood pressure of 116/68 mmHg and pulse rate of 81 beats per minute;- dated 11/19/25, blood pressure of 112/72 mmHg and pulse rate of 80 beats per minute; and- dated 11/20/25, blood pressure of 128/82 mmHg and pulse rate of 76 beats per minute. Further review of Resident 4's medical record failed to show the orthostatic blood pressure were obtained on the lying, sitting, and standing positions as ordered from 11/18 to 11/20/25. On 11/25/25 at 1421 hours, an interview and concurrent medical record review was conducted with LVN 3. LVN 3 verified Resident 4 had an order to check the resident's orthostatic blood pressure (sitting, standing and lying positions) for three days from 11/18 to 11/20/25. LVN 3 also verified the MAR for November 2025 did not indicate Resident 4's blood pressure was checked in all three positions as ordered. LVN 3 further stated the failure to obtain the resident's orthostatic blood pressure as ordered could put the resident at risk for fall due to possible drop in blood pressure when changing position. On 11/25/25 at 1710 hours, an interview was conducted with the DON. The DON was made aware and acknowledged
the above findings.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
BAYSHIRE YORBA LINDA POST-ACUTE in YORBA LINDA, 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 YORBA LINDA, 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 BAYSHIRE YORBA LINDA POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.