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Health Inspection Summary
California Home for the Aged
6720 E. Kings Canyon
Fresno, CA 93727
(559) 251-8414

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Deficiency Category
Inspection Date:
3/28/24
Complaint Reporting Period:
3/1/24 - 2/28/25
Inspection Date:
4/22/22
Complaint Reporting Period:
3/1/23 - 2/29/24
Inspection Date:
1/31/20
Complaint Reporting Period:
3/1/22 - 2/28/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies100
Quality of Life and Care Deficiencies031
Infection Control Deficiencies151
Resident Assessment and Care Planning Deficiencies633
Nursing and Physician Services Deficiencies111
Resident Rights Deficiencies201
Nutrition and Dietary Deficiencies334
Pharmacy Service Deficiencies321
Environmental Deficiencies102
Administration Deficiencies000

Detailed result for inspection on 3/28/24
Date of last standard health inspection:3/28/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/24 - 2/28/25
Date(s) of infection control inspection(s) between 3/1/24 - 2/28/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:18
Average number of Health Deficiencies in California:16.4
Average number of Health Deficiencies in the United States:9.6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some
Quality of Life and Care Deficiencies
No Quality of Life and Care Deficiencies were found during this inspection period.
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure services provided by the nursing facility meet professional standards of quality.

9/4/249/20/24
2 - Minimal harm or potential for actual harm
Few

Ensure each resident receives an accurate assessment.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some

PASARR screening for Mental disorders or Intellectual Disabilities

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some
Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Few

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some

Ensure medication error rates are not 5 percent or greater.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Some

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

3/28/244/26/24
2 - Minimal harm or potential for actual harm
Few
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 4/22/22
Date of last standard health inspection:4/22/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/23 - 2/29/24
No complaint inspections
Date(s) of infection control inspection(s) between 3/1/23 - 2/29/24
Total number of Health Deficiencies for this nursing home:17
Average number of Health Deficiencies in California:17.2
Average number of Health Deficiencies in the United States:9.4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide safe, appropriate dialysis care/services for a resident who requires such services.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few

Provide safe and appropriate respiratory care for a resident when needed.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Some
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure staff are vaccinated for COVID-19

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Some

Provide and implement an infection prevention and control program.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Some

Implement a program that monitors antibiotic use.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Many

Develop and implement policies and procedures for flu and pneumonia vaccinations.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few

Provide and implement an infection prevention and control program.

3/3/233/31/23
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure services provided by the nursing facility meet professional standards of quality.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Some

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Some
Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Some

Dispose of garbage and refuse properly.

3/3/233/31/23
2 - Minimal harm or potential for actual harm
Few
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure medication error rates are not 5 percent or greater.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

4/22/225/22/22
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 1/31/20
Date of last standard health inspection:1/31/20Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/22 - 2/28/23
Date(s) of infection control inspection(s) between 3/1/22 - 2/28/23
No infection control inspections
Total number of Health Deficiencies for this nursing home:14
Average number of Health Deficiencies in California:15.1
Average number of Health Deficiencies in the United States:8.7
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

4/20/225/20/22
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Some

Assess the resident when there is a significant change in condition

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Some
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

4/20/225/20/22
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Some

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Some

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Many

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Few
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Many

Keep all essential equipment working safely.

1/31/203/18/20
2 - Minimal harm or potential for actual harm
Few
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.
Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure services provided by the nursing facility meet professional standards of quality.

9/4/249/20/24
2 - Minimal harm or potential for actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

4/20/225/20/22
2 - Minimal harm or potential for actual harm
Few

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

4/20/225/20/22
2 - Minimal harm or potential for actual harm
Few
Infection control inspection deficiencies in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

3/3/233/31/23
2 - Minimal harm or potential for actual harm
Few

Dispose of garbage and refuse properly.

3/3/233/31/23
2 - Minimal harm or potential for actual harm
Few
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