Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at La Casa Via Transitional Care Center during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment and no documented behavioral disturbances was given divalproex sodium in error for mood instability. Facility staff did not monitor for side effects or effectiveness of the psychotropic medication, despite policy requirements and pharmacy consultant recommendations. Interviews and record reviews confirmed the lack of monitoring during the period the medication was administered.
A resident received divalproex sodium, a psychoactive medication, for two weeks without an appropriate diagnosis after a nurse mistakenly transcribed a verbal order intended for another patient. The medication was administered for 'mood instability,' which was not a valid indication, and no informed consent was obtained. The error was identified when the pharmacy consultant requested clarification, and facility policy requiring read-back of verbal orders was not followed.
A resident with moderate cognitive impairment and no symptoms of mood disturbance was erroneously administered divalproex sodium 30 times after an RN transcribed a verbal medication order intended for another patient. The error was discovered through record review and interviews, confirming the medication was given without a valid physician order.
A resident was discharged home without proper preparation and orientation, resulting in significant pain due to the lack of prescribed pain medication. The discharge was not initiated by the resident, and there was no discharge care plan or documentation provided. Facility staff confirmed that the discharge was not planned correctly, and the facility's policies and procedures were not followed.
A resident with multiple diagnoses, including joint replacement surgery and chronic pain, did not receive a scheduled shower, leading to discomfort and dissatisfaction. The Clinical Manager confirmed the oversight, which was against the facility's policies on hygiene and bathing.
Failure to Monitor for Side Effects After Medication Error with Psychotropic Drug
Penalty
Summary
A resident with a history of hip fracture and depression, and moderate cognitive impairment, was admitted to the facility and subsequently administered divalproex sodium (Depakote), a mood stabilizing medication, in error. The resident's Minimum Data Set indicated no symptoms of mood disturbances or behavioral issues that would warrant the use of this medication. Despite this, the medication was ordered and administered for mood instability, and there was no evidence of monitoring for side effects or effectiveness during the period it was given. Interviews with facility staff, including the Facility Medical Practitioner, DON, and Facility Pharmacy Consultant, confirmed that the resident was not monitored for behavioral changes or adverse effects associated with divalproex sodium. The facility's own policies required monitoring for side effects and effectiveness of psychotropic medications, as well as monitoring after medication errors. Documentation review showed that the pharmacy consultant recommended adding monitoring, but this was not implemented, and no monitoring was documented on the Medication Administration Record.
Unnecessary Psychoactive Medication Administered Due to Transcription Error
Penalty
Summary
A resident was administered divalproex sodium (Depakote), a psychoactive medication, without appropriate indications for use. The resident's medical record showed a diagnosis of hip fracture and depression, but there were no documented symptoms of mood disturbances or behavioral issues that would warrant the use of a mood stabilizer. The Minimum Data Set assessment indicated moderate cognitive impairment, but did not support the need for psychoactive medication. The medication was ordered for 'mood instability,' which was not recognized as a valid diagnosis for such treatment. The error occurred when a registered nurse transcribed a verbal order for divalproex sodium intended for another resident into this resident's medical record. The nurse did not read the order back to the physician as required by facility policy, resulting in the medication being administered to the wrong resident for two weeks. The facility's policies require that verbal orders be read back to the practitioner to ensure accuracy, and that informed consent be obtained from the resident or responsible party prior to administering psychotropic medications. In this case, no consent was obtained. The facility's pharmacy consultant identified the lack of an appropriate diagnosis and requested clarification from the prescribing physician. Documentation confirmed that the medication was given without a valid indication and that the error was due to a communication mistake. Facility policies also define medication errors to include the administration of unauthorized drugs and emphasize the importance of following clinical guidelines and ensuring the right patient receives the correct medication.
Significant Medication Error Due to Transcription Mistake
Penalty
Summary
A significant medication error occurred when a registered nurse transcribed a verbal order for divalproex sodium, a psychoactive medication, into the medical record of a resident for whom it was not intended. This error led to the resident receiving the medication in error 30 times over a period of approximately two weeks. The resident, who had a history of hip fracture and depression and was assessed as having moderate cognitive impairment, did not have symptoms of mood disturbances or behaviors that would have warranted the use of divalproex sodium. The error was identified through interviews and record reviews, which revealed that the medication order was meant for another resident. The facility's policy defines a medication error as the administration of a drug not in accordance with a physician's order, and specifically includes the administration of an unauthorized drug. The resident's records confirmed the administration of divalproex sodium without a valid indication or physician's order for this resident, as a result of the transcription error.
Failure to Ensure Safe and Orderly Discharge
Penalty
Summary
The facility failed to ensure a safe and orderly discharge for one resident, who was discharged home without proper preparation and orientation. The resident, who had undergone joint replacement surgery and suffered from chronic pain, was discharged without receiving the prescribed pain medication. The resident reported experiencing significant pain due to the lack of medication, which was only delivered to her home the following day by facility staff. The discharge was not initiated by the resident but was a decision made by the facility. A review of the resident's records revealed that there was no discharge care plan, no documentation of the discharge papers signed by the resident, and no list of medications provided to the resident at the time of discharge. Interviews with the clinical liaison and clinical manager confirmed that the discharge was not planned correctly, and the facility's policies and procedures for discharge and medication were not followed. The physician who ordered the discharge did so without visiting the resident and could not recall the reason for the discharge.
Failure to Provide Scheduled Shower Services
Penalty
Summary
The facility failed to provide scheduled hygiene and bathing services for one of the sampled residents. Resident 1, who was admitted with multiple diagnoses including joint replacement surgery on the left knee and chronic pain, did not receive a scheduled shower. During an interview, Resident 1 expressed discomfort and dissatisfaction with not receiving the expected shower services. The Clinical Manager confirmed that Resident 1 was supposed to receive a shower on the specified date but did not. The facility's policies on discharging residents and shower/tub baths emphasize the importance of cleanliness and comfort, which were not adhered to in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Walnut Creek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tampico Healthcare Center | 0.1 mi | ★★★★★ | 3 | 0 |
| Pleasant Hill Post Acute | 1.5 mi | ★★★★★ | 22 | 0 |
| Rosewood Post Acute | 1.8 mi | ★★★★★ | 15 | 0 |
| Shadelands Post Acute | 2.1 mi | ★★★★★ | 20 | 0 |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | 2.6 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.