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F0584
E

Failure to Maintain Safe and Homelike Resident Environment

San Pablo, California Survey Completed on 07-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A moderate dent and exposed wall area were observed behind the head of a resident's bed during a facility survey. The resident, who had been admitted several months prior, expressed dissatisfaction with the condition of the wall, stating that it looked awful and was not reflective of a homelike environment. The Environmental Director, when interviewed in the room, acknowledged that the wall should not be in that condition. The facility's policy on resident rights affirms the right to a dignified existence and a homelike environment, but the observed damage to the wall had not been repaired at the time of the survey.

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