The inspection, completed September 15, 2025, turned up 18 separate deficiencies at the facility.
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Twenty-eight deficiencies is a substantial number for a single inspection, and the IV fluid finding was not the only problem inspectors recorded that day.
Inspectors found no documented harm to any resident, but concluded the failures carried potential for more than minimal harm.
Inspectors found York Manor deficient on that standard.
That admission came during an inspection completed September 12, 2025, at the 445 Park Street facility in Weed, California.
The violation was one of 16 deficiencies documented during the September 11 inspection.
The citation, issued September 11, 2025, fell under a category regulators call Resident Rights Deficiencies.
The inspection, completed September 15, 2025, was triggered not by a routine survey but by a cluster of complaints filed separately with the state.
What inspectors described was a breakdown across nearly every basic expectation of institutional meal planning.
The deficiency, cited under a category protecting residents' most basic living rights, was classified as a pattern.
One of those citations involved something residents in long-term care depend on knowing: their rights.
That admission sits at the center of a complaint inspection completed September 12, 2025, at the 2005 River Street facility.