It is the threshold at which federal regulators decide a problem is serious enough to cite at all.
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The citation was one of 12 deficiencies documented during a complaint inspection completed on August 22.
Inspectors cited Avamere Health Services of Rogue Valley on August 22 for failing to provide or obtain dental services for residents.
In the language federal regulators use to grade these findings, that means inspectors did not see the problem spreading across the facility.
Inspectors classified it as an isolated problem with no actual harm documented, but with potential for more than minimal harm to residents.
The August 29 complaint inspection at the Manteca facility turned up 14 separate deficiencies.
The citation centered on admissions practices.
The citation, issued August 22, 2025, was one of eight deficiencies inspectors documented during the complaint investigation.
The resident, identified in inspection records only as R6, had fallen in December 2024.
When both fail at once, and fail badly enough to reach immediate jeopardy, the question is not whether something went wrong.
The citation, issued August 22, 2025, falls under pharmacy service deficiencies.
He could not recall because, apparently, no one had called.