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Facility profile · CCN 056007

Pacific Care Nursing Center

66 federal citations on record , and 3 federal enforcement actions totaling $100,013.

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Record summary

Federal record · Q1 2026
66
Total citations
57
Last 3 years
3
Actual harm+
3
Federal penalties
$100,013
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

66 on record
SurveyF-TagViolationSeveritySource
Aug 21, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint
Jul 18, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Jul 18, 2025F881Implement a program that monitors antibiotic use.DStandard
Jul 18, 2025F880Provide and implement an infection prevention and control program.EStandard
Jul 18, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Jul 18, 2025F761Ensure 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.EStandard
Jul 18, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 18, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jul 18, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Jul 18, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Jul 18, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard
Jul 18, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jul 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 18, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jul 18, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jul 18, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jul 18, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 6, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 28, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 11, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 3, 2024F880Provide and implement an infection prevention and control program.EComplaint
Dec 3, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 2, 2024F825Provide or get specialized rehabilitative services as required for a resident.EComplaint
Dec 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Sep 30, 2024F880Provide and implement an infection prevention and control program.EComplaint
Sep 30, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Sep 19, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Jul 25, 2024F880Provide and implement an infection prevention and control program.FStandard
Jul 25, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Jul 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 25, 2024F761Ensure 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.DStandard
Jul 25, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jul 25, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jul 25, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jul 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 25, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jul 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 25, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Jul 25, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 25, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 18, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Feb 26, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Feb 16, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jan 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Dec 11, 2023F675Honor each resident's preferences, choices, values and beliefs.DComplaint
Oct 18, 2023F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint
Oct 9, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 12, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.EComplaint
Jul 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 13, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 17, 2021F880Provide and implement an infection prevention and control program.DStandard
Dec 17, 2021F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 17, 2021F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard
Dec 17, 2021F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Dec 17, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 17, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 17, 2021F692Provide enough food/fluids to maintain a resident's health.GStandard
Dec 17, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $100,013 .

DateTypeFinePayment denial
Jan 24, 2025Fine$17,215
Dec 2, 2024Fine$31,150
Oct 9, 2023Fine$51,648
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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