Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Tampico Healthcare Center during CMS and state inspections, most recent first.
A resident with cardiac conditions and a history of falls developed a purple bump on the buttock that was documented without precise anatomical location or wound measurements, and no investigation into the cause was recorded. A subsequent physician-signed wound note labeled the area as an abrasion on the right buttock but again omitted measurements and exact location. The same note documented a left heel pressure injury with a physician order for a protective boot to offload pressure, yet there was no evidence the boot order was entered or implemented. The TN and DON acknowledged that a full assessment, investigation, and implementation of the ordered preventive device did not occur, contrary to the facility’s wound management policy requiring wound measurements and detailed documentation.
During a respiratory illness outbreak, the facility failed to accurately track cases when a resident with COPD and an acute exacerbation developed shortness of breath, was sent to the hospital, and tested positive for Coronavirus OC43, but was not added to the outbreak line list. In interviews and record reviews, the LVN/IP confirmed the ongoing respiratory outbreak and acknowledged that this resident, who had a confirmed respiratory infection, should have been included on the infection control tracking tool, contrary to facility policy requiring complete infection data collection and analysis.
Surveyors found that oral care and skin care products, including toothbrushes, toothpaste, and triad paste, were stored unlabeled and exposed in shared kidney basins on a room sink. Staff present could not identify the owners of these items and acknowledged that such items should be labeled and stored separately to prevent contamination. The facility's infection preventionist and DON confirmed that these practices did not align with infection control policies and posed a risk for cross-contamination.
Surveyors found that power strips were improperly suspended under adjustable desks in the Social Services and Physician's Offices, powering computer components. Staff confirmed the setup was due to the use of adjustable desks. This deficiency affected multiple residents and smoke compartments, and did not comply with NFPA electrical safety standards.
Surveyors found that the kitchen's Dry Storage Area, a hazardous area, had an egress door without a required self-closing mechanism. This deficiency was confirmed by staff during the inspection and affected one of four smoke compartments.
Surveyors found that the facility did not have a written agreement with a fuel vendor to supply propane for its emergency generator, as required by federal regulations. Staff confirmed that a contract had been proposed but was not yet in place, leaving the emergency power plan incomplete for all residents and smoke compartments.
The facility failed to protect two residents from verbal and physical abuse by another resident. One resident was screamed at, hit, and verbally threatened in the hallway, while another was thrown at and caused to fall during a bingo game. Staff confirmed the incidents, and the aggressive resident had a history of behavioral issues related to schizophrenia and dementia.
Failure to Complete Comprehensive Skin Assessment and Implement Ordered Pressure Injury Prevention
Penalty
Summary
The facility failed to ensure a comprehensive skin assessment and pressure injury prevention for one of two sampled residents. The resident was admitted with diagnoses including congestive heart failure, atrial fibrillation, and a history of falls. An eINTERACT Change in Condition Evaluation documented a purple bump on the buttock, but the skin evaluation did not include the precise anatomical location or measurements (length, width, depth) of this newly identified skin abnormality, and there was no documentation that the cause or origin of the skin injury was investigated. A subsequent Wound Assessment Note, signed by the physician, identified the wound as an abrasion on the right buttock but again did not include wound measurements or specify the exact anatomical location on the buttock. The same Wound Assessment Note indicated the resident had a pressure injury on the left heel and that the physician ordered a protective boot to offload pressure, but there was no documentation that this ordered device was implemented. During interviews, the Treatment Nurse stated that an investigation should have been conducted to determine the cause of the purple bump and that a complete assessment, including wound measurements and exact anatomical location, should have been performed. The DON stated that the purple bump should have been investigated to determine the cause and that without exact wound measurements it would be difficult to determine if the skin injury was improving or declining, and also acknowledged that the physician’s order for a preventive boot was not entered into the record or implemented. Review of the facility’s Wound Management policy showed that it required measurement of new wounds and documentation of wound location and measurements, which was not followed in this case.
Resident with Respiratory Virus Omitted from Outbreak Line List
Penalty
Summary
The facility failed to ensure accurate data collection during a respiratory illness outbreak by not including one resident in the outbreak line list. The resident was admitted with diagnoses that included chronic obstructive pulmonary disease with acute exacerbation. A Change in Condition Evaluation documented that the resident experienced shortness of breath and was transferred to the hospital for evaluation. Laboratory results dated the same day showed the resident tested positive for Coronavirus OC43, a common human coronavirus that usually causes mild to moderate upper-respiratory tract illness. During interviews and concurrent record reviews with the LVN/Infection Preventionist, it was confirmed that a respiratory illness outbreak had started earlier that month and that the facility was using a line list as an infection control tracking tool to collect data and actively monitor residents and staff during the suspected outbreak. The LVN/Infection Preventionist reviewed the line list and acknowledged that the resident who tested positive for a respiratory illness was not included, and stated that the resident should have been listed. The facility’s Infection Prevention and Control Program policy required the facility to identify, investigate, control, and prevent infections, maintain records of incidents and corrective actions related to infections, and required the Infection Preventionist to collect, analyze, and provide infection data and trends, which was not fully carried out in this instance.
Improper Storage and Labeling of Personal Care Items Creates Infection Control Deficiency
Penalty
Summary
Surveyors observed that in a shared room, an open, unlabeled toothbrush and an open, unlabeled tube of toothpaste were stored together in an unlabeled kidney basin on top of the room's shared sink. Additionally, an unlabeled open tube of triad paste was stored together with two open, unlabeled tubes of toothpaste in another kidney basin in the same location. Staff present, including an LVN and a CNA, were unable to identify the owners of these items and acknowledged that oral care products should be labeled and stored separately. The LVN also stated that triad paste, used for treating skin conditions, should not be stored with oral care products. The Infection Preventionist confirmed that toothbrushes should be stored in clean, labeled plastic bags within residents' drawers to prevent contamination, and that co-mingling oral care and skin care products is not appropriate. The Director of Nursing also acknowledged that improper storage of these unlabeled items had the potential to spread infection among the residents sharing the room. Review of the facility's infection prevention and control policy indicated the requirement to maintain a safe and sanitary environment to prevent disease transmission.
Improper Suspension of Power Strips in Facility Offices
Penalty
Summary
Surveyors observed that the facility failed to maintain electrical equipment in accordance with NFPA 101 and NFPA 70 standards. Specifically, power strips were found suspended under adjustable desks in both the Social Services Office and the Physician's Office near the North Nurse station. In both instances, the power strips were powering computer components and were suspended above the floor, with one approximately 12 inches and the other about three inches above the floor. Staff confirmed that the suspension of the power strips was likely due to the use of adjustable desks in these areas. The deficiency affected 43 of 123 residents and two of four smoke compartments. The report notes that the improper suspension of power strips could result in an electrical fire, as tension on the cords may be transmitted to joints or terminals, which is not compliant with the cited NFPA codes. No specific resident medical history or condition at the time of the deficiency is mentioned in the report.
Plan Of Correction
Preparation and execution of this plan of correction does not constitute admission or agreement by this provider of the truth of the facts alleged or conclusions set forth in the Statement of Deficiencies. The plan of correction is prepared and executed solely because it is required by the provisions of federal and state law. I. Corrective Action The facility will ensure to maintain electrical equipment of power strips. On 04/02/2025, Maintenance Director adjusted the power strips on both the desks of Social Services and in Physician's Office. The adjustment consisted of the power strips not to be suspended related to usage of the adjustable desks. II. Identify Other Residents at Risk On 04/03/2025, the Maintenance Director rounded each office to check suspension of all other power strip cords. No other power strip was identified with the same deficiency. No residents were affected. III. Systematic Changes On 04/02/2025, the Administrator had 1:1 in-service with Maintenance Director on proper placement of power strips (Attachment 4). On 04/03/2025, the Administrator conducted an in-service with office staff on proper placement of power strips (Attachment 5). IV. Monitoring Process Maintenance Director will perform a weekly audit of all power strips in the facility to ensure proper placement and not suspended for 3 months until compliance is met, the monthly audits thereafter. Findings will be reported to Administrator in the daily operations meeting. Administrator will report any findings and trends monthly to the QA Committee for 3 months or until compliance is met. V. Completion Date 04/14/2025
Hazardous Area Door Lacked Required Self-Closing Mechanism
Penalty
Summary
Surveyors observed that the facility failed to maintain proper hazardous area enclosures as required by NFPA 101. Specifically, during a tour of the facility, the egress door to the Dry Storage Area in the kitchen, which measured approximately 255 square feet and contained eight metal racks filled with dry food supplies, was found to be missing a self-closing mechanism. The absence of this mechanism was directly observed, and the staff member present confirmed that she was unaware the door required a self-closing device. This deficiency affected the kitchen and one of four smoke compartments in the facility. The report does not mention any specific residents or their medical conditions in relation to this deficiency. The finding was based solely on the physical observation of the hazardous area and staff interview at the time of the survey.
Plan Of Correction
Preparation and execution of this plan of correction does not constitute admission or agreement by this provider of the truth of the facts alleged or conclusions set forth in the Statement of Deficiencies. The plan of correction is prepared and executed solely because it is required by the provisions of federal and state law. I. Corrective Action The facility will ensure to maintain the hazardous area enclosures. On 04/02/2025, Maintenance Director installed a self-closing mechanism on the egress door to the Dry Storage Area in the kitchen (Attachment 2). II. Identify Other Residents at Risk Maintenance Director checked the Kitchen for all doors requiring self-closing mechanism. No other door was identified with the same deficiency. No residents were affected. III. Systematic Changes On 04/03/2025, in-service conducted by Administrator with kitchen staff about importance of self-closing mechanism on the door of Dry Storage Area (Attachment 3). Kitchen staff will perform daily check to ensure the door to the Dry Storage Area automatically closes. IV. Monitoring Process Maintenance Director will perform a monthly audit of all doors with self-closing mechanisms. Findings will be reported to Administrator in the daily operations meeting. Administrator will report any findings and trends monthly to the QA Committee for 3 months or until V. Completion Date 04/14/2025
Lack of Emergency Generator Fuel Supply Agreement
Penalty
Summary
The facility failed to maintain its Emergency Preparedness Plan as required by federal regulations. During a document review and staff interview, surveyors requested the emergency fuel plan and found that the facility could not provide a written vendor agreement for the delivery of fuel for their 10-kilowatt propane generator in the event of an emergency. Staff confirmed that while a fuel contract had been proposed to the vendor, no agreement had been finalized or received at the time of the survey. This deficiency affected all 123 residents and four smoke compartments within the facility. The absence of a documented fuel supply agreement meant that the facility did not have a formalized plan to ensure the continued operation of its emergency power system during an emergency, as required by the applicable federal regulations and referenced NFPA codes.
Plan Of Correction
Preparation and execution of this plan of correction does not constitute admission or agreement by this provider of the truth of the facts alleged or conclusions set forth in the Statement of Deficiencies. The plan of correction is prepared and executed solely because it is required by the provisions of federal and state law. I. Corrective Action The facility will ensure to maintain the Emergency Preparedness Plan. On 04/02/25, the Administrator requested a written agreement with [R] to deliver propane fuel for the generator in the event of an emergency. On 04/18/25, [R] provided an amended service agreement that includes a 24-hour emergency service for our facility. (Attachment A - page 6) II. Identify Other Residents at Risk No residents were affected by this deficient practice. III. Systematic Changes On 04/03/25 in-service was conducted by the DSD to facility staff to be informed of agreement in place between propane fuel supplier and facility to deliver propane fuel for generator in the event of an emergency (Attachment 1). EOP Manual updated and reviewed by QA Committee. Next review of EOP Manual will be on 03/2026. IV. Monitoring Process Maintenance Director will review monthly EOP Manual including Propane Fuel Delivery Agreement. Findings will be reported to Administrator in the daily operations meeting. The Administrator will report findings to QA Committee monthly for 3 months or until compliance is met. V. Completion Date 04/18/2025 E 041 The facility is not in substantial compliance with 42 CFR §483.90 for Long Term Care Facilities.
Failure to Protect Residents from Verbal and Physical Abuse
Penalty
Summary
The facility failed to ensure that two residents were free from verbal and physical abuse. Resident 2 screamed, hit, and made verbal threats to harm Resident 1 during an altercation in the hallway. Resident 2 was angry that Resident 1 was in the room next to hers and demanded that Resident 1 leave her side of the hallway. During an interview, Resident 1 stated that Resident 2 made racist remarks and hit him in the chest area. Resident 2 claimed that Resident 1 called her names and spat in her face. Staff members, including an LVN and a CNA, confirmed that Resident 2 yelled at and hit Resident 1. Resident 2's behavioral care plans indicated a history of angry outbursts and physical aggression related to schizophrenia and dementia, but these behaviors were not adequately managed to prevent the altercation with Resident 1. In another incident, Resident 2 threw an object at Resident 3 during a bingo game in the dining room. Resident 3 reacted by pushing the table, which caused him to lose balance and fall. Resident 2's progress notes indicated that she got upset when Resident 3 put a bingo card on top of hers and threw an empty box of chocolate at him. The Social Services Assistant confirmed that Resident 2 pushed the table, leading to Resident 3's fall. Resident 3's Minimum Data Set indicated that he had a mood disorder and episodes of feeling bad about himself, but he was cognitively intact. The facility's failure to manage Resident 2's aggressive behavior resulted in repeated altercations and emotional distress for other residents. The facility's policy on abuse prevention clearly states that each resident has the right to be free from abuse, neglect, and mistreatment. Despite this policy, the facility did not take adequate measures to protect residents from verbal and physical abuse by Resident 2. The incidents involving Resident 1 and Resident 3 highlight the facility's failure to manage Resident 2's behavioral issues effectively, leading to emotional distress and potential injuries for other residents.
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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) |
|---|---|---|---|---|
| La Casa Via Transitional Care Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Pleasant Hill Post Acute | 1.6 mi | ★★★★★ | 22 | 0 |
| Rosewood Post Acute | 1.9 mi | ★★★★★ | 15 | 0 |
| Shadelands Post Acute | 2.1 mi | ★★★★★ | 20 | 0 |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | 2.5 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.