Home Nursing Deficiencies

Summary of Deficiencies

The summary chart for the facility includes the number of deficiency entries issued against the facility in each of the last five years. Next to the “Total” at the bottom of the chart for each year is the average number of deficiency entries issued in California against facilities for that calendar year. For the calendar year 2000, a total of 22,836 deficiency entries were issued against 1,416 facilities with 126,090 licensed beds. This is a statewide average of 16 deficiency entries per facility.

Deficiency Entries

 

Visit Date: This is the date of the survey visit when the deficiencies were issued.

Visit ID: This is used to track visits There may be several visits for one deficiency.

Violation Codes & F Tags: To implement the 1987 nursing home reform laws and to ensure national consistency in the survey process, the federal Health Care Financing Administration (HCFA) created the State Operations Manual (SOM) surveyor instructions and guidelines. These interpretive guidelines are used by the surveyors in each state to assess violations and to identify noncompliance.

The interpretive guidelines are formatted by using the prefix “F” to cite the federal requirements and by a “TAG” number. Each guideline has a TAG number that identifies a section of the regulations and the guidelines that the surveyors are supposed to use when determining deficiencies. For example, TAG F248 references a “quality of life” requirement for activities cited at Section 483.15(f)(1) of the Code of Federal Regulations.

State Regulations: Those deficiency entries that are not preceded by an F-TAG, which indicates a federal violation, are preceded by a state regulation section. State Licensing regulations are included in Title 22 of the California Code of Regulations, Division 5. The violation code indicates the regulation violated.

Category: CANHR has devised 15 categories to sort deficiencies in a way that is comprehensible to consumers. This category next to the F-TAG describes the category of the deficiency.

Description: The “description” does not actually describe the deficiency, but provides a summary of the federal regulation that was violated. Facilities are required to post copies of their most recent survey results, i.e., the statement of deficiencies and plan of correction, which includes details of the deficiency. In addition, copies of the statement of deficiencies are available at the Licensing and Certification District Offices.

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