Yuba City Post Acute
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
9/5/25 2:58 pm, indicated Nursing observations, evaluation, and recommendations are: .Resident noted with open wound on right lateral ankle.resident noted with exposed metal hardware on right lateral ankle about 2.5 cm x 2 cm x 0.3 cm. No drainage noted and metal hardware is exposed. Called orthopedic office and talked with a medical assistant. She stated Physicians' Assistant (PA) wrote down an order in chart that if metal hardware exposed to send resident out to emergency room for further evaluation. MD was in [facility] and made aware.During a concurrent observation and interview with Resident 35 on 9/18/25 at 10:47 am, Resident 35 stated LN J did not tell her that there was exposed bone on her right lateral ankle on 9/3/25. Resident 35 stated LN J told her she needed to go to a local acute care hospital on 9/5/25 for right lateral ankle wound evaluation and treatment because there was a screw sticking out.During an interview
on 9/18/25 at 12:30 pm, with MD, MD stated she expected staff to notify her immediately of Resident 35's change in condition. MD stated she was not aware LN J documented the discovery of exposed bone and orthopedic screw during the wound evaluation and treatment on 9/3/25. MD stated she expected to be notified on 9/3/25. MD confirmed LN J did not notify her of Resident 35's wound changes of condition until two days later on 9/5/25.During an interview on 9/18/25 at 1:11 pm, with LN J, LN J confirmed she documented exposed bone on 9/3/25. LN J stated she called Resident 35's orthopedist's office on 9/3/25, but it was late in the day, and no one answered. LN J confirmed she should have contacted MD immediately. LN J confirmed she did not notify the DON and should have. LN J stated she will notify MD immediately for future reference.During an interview on 9/17/25 at 9:30 am, with DON, DON confirmed LN J documented exposed bone on Resident 35's right lateral ankle on 9/3/25. DON stated LN J should have notified herself and the MD immediately. DON confirmed LN J did not notify MD until two days later on 9/5/25. DON confirmed 9/5/25 was when Resident 35 was sent to a local acute care hospital for wound evaluation per MD order. DON confirmed LN J did not follow facility policy for notification of change in condition.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0656
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-13.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0657
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-11-13.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0658
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-11-13.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0684
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-11-13.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0730
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-11-13.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-24.
F-Tag F0759
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-11-13.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
F-Tag F0761
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-11-13.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
F-Tag F0801
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0801 during a standard health inspection conducted on 2025-11-13.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-19.
F-Tag F0842
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-11-13.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-14.
F-Tag F0880
Federal health inspectors cited YUBA CITY POST ACUTE in YUBA CITY, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-13.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 11 deficiencies cited during this inspection of YUBA CITY POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
YUBA CITY POST ACUTE in YUBA CITY, 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 YUBA CITY, 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 YUBA CITY POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.