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🔎 Crown Bay Nursing And Rehabilitation Center

Inspection Results


Inspection Overview

Crown Bay Nursing And Rehabilitation Center has been cited for a total of 67 deficiencies since we began saving each survey.

In California, the average facility has **64.18 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2025-04-08
Correction Date: 2025-05-05
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2025-04-03
Correction Date: 2025-04-23
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: G

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

Survey Date: 2025-02-13
Correction Date: 2025-03-10
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Give residents a notice of rights, rules, services and charges.

Survey Date: 2024-10-15
Correction Date: 2024-10-31
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey Date: 2024-10-15
Correction Date: 2024-10-31
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Prepare residents for a safe transfer or discharge from the nursing home.

Survey Date: 2024-08-30
Correction Date: 2024-09-26
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Assist a resident in gaining access to vision and hearing services.

Survey Date: 2024-08-30
Correction Date: 2024-09-26
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

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

Survey Date: 2024-08-30
Correction Date: 2024-09-26
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2024-07-23
Correction Date: 2024-09-09
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2024-07-23
Correction Date: 2024-09-09
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2024-05-15
Correction Date: 2024-06-01
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Assure that each resident’s assessment is updated at least once every 3 months.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Observe each nurse aide's job performance and give regular training.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

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

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Dispose of garbage and refuse properly.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Keep all essential equipment working safely.

Survey Date: 2023-08-10
Correction Date: 2023-10-03
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2023-08-02
Correction Date: 2023-08-28
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2022-10-07
Correction Date: 2022-10-07
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Survey Date: 2022-05-11
Correction Date: 2022-06-06
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey Date: 2022-05-09
Correction Date: 2022-06-06
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2021-12-10
Correction Date: 2022-01-25
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

Survey Date: 2021-12-10
Correction Date: 2022-01-25
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that residents are free from significant medication errors.

Survey Date: 2021-11-08
Correction Date: 2021-11-23
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2021-01-25
Correction Date: 2021-03-23
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Report COVID19 data to residents and families.

Survey Date: 2021-01-25
Correction Date: 2021-03-23
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2020-09-16
Correction Date: 2020-10-05
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Assist a resident in gaining access to vision and hearing services.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: B

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Hire a qualified full-time social worker in a facility with more than 120 beds.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2019-11-22
Correction Date: 2019-12-22
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: B

Ensure each resident receives an accurate assessment.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide activities to meet all resident's needs.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide appropriate foot care.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide routine and 24-hour emergency dental care for each resident.

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2018-10-11
Correction Date: 2018-11-11
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: B

Give residents a notice of rights, rules, services and charges.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Provide timely notification to the resident before transfer or discharge.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Store, cook, and serve food in a safe and clean way.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

Survey Date: 2017-11-22
Correction Date: 2017-12-21
Category: Administration Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**