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F0727
F

Failure to Provide Required RN Coverage

San Rafael, California Survey Completed on 08-21-2025

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

The facility failed to provide a Registered Nurse (RN) on duty for at least eight hours a day on four separate days in July 2025, as confirmed by review of the RN time sheet and interviews with the Director of Nursing (DON) and the Administrator. Specifically, on July 6 and July 20, the RN coverage was less than eight hours, and on July 12 and July 13, there was no RN present at all. The DON confirmed that neither she nor the MDS RN worked on those weekends and was unaware of the missed coverage. The facility's policy requires adequate RN staffing to meet residents' needs, but this was not met for a medically fragile population of 48 residents during the identified days.

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