Violation

California Code § 87506(b)(10)Medical Assessment Records

How CCLD inspectors cite this regulation, what operators do to stay clear of it, and where it appears in the public record.

Type B, generalAffects rcfe30 facilities cited in the last 90 days

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to residents. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

Educational reference based on public CCLD inspection records. Not legal or compliance advice. Verify requirements with official sources. Full disclaimer

Regulation text

What California Code § 87506(b)(10) actually says

California Code § 87506(b)(10)

Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions.

From the field

What operators tell us about this citation

Based on community experience, not official guidance.

29 California RCFEs were cited for incomplete medical assessment records, with 13 citations in Los Angeles County alone. LPAs pull a sample of resident files during every inspection. Review each file for the Section 87458 assessment and special precautions before your next annual visit. A 30-minute audit now prevents a Type B citation that families can see on your public record.

By the numbers

30^*CCLD: facilities cited in the last 90 days
14^*CCLD: counties where this citation appeared
--^*CCLD: rank among most-common citations
Trajectory: Steady; Last 90 days vs. previous 90 days.

30 facilities were cited for this in the last 90 days. See if yours is one of them.

Check a facility

What other operators do

Common practices to stay clear of Medical Assessment Records

Common practices shared by operators. Confirm requirements with your licensing analyst.

Common practices

Include the full medical assessment from Section 87458 in every resident file
Document all special problems and precautions relevant to the resident's care
Update records promptly when a resident's medical condition changes

What to avoid

Admitting a resident before the medical assessment is completed and filed
Failing to update the file when a resident develops new medical issues
Storing medical assessments separately from the main resident file where LPAs cannot find them

Regional record

Where this citation appeared in the past 90 days

Citation counts and rates by California county, drawn from CCLD inspection records.

Regional citations for Medical Assessment Records, last 90 days
County	Citations
Los Angeles	13
Sacramento	3
Orange	2
Kern	1
Merced	1
Solano	1
Sonoma	1
Sutter	1
Alameda	1
Monterey	1

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-07-13Updated weekly

FAQ

Frequently asked questions

Answers based on public CCLD data and regulation text. May not reflect recent changes.

What is the medical assessment documentation violation in California assisted living?

Title 22, Section 87506(b)(10) requires every RCFE resident file to include the medical assessment from Section 87458 and documentation of any special problems or precautions. This information tells staff how to safely care for each resident. Missing or incomplete records trigger a deficiency during CCLD inspections.

How common is the medical assessment documentation citation in California RCFEs?

According to California CCLD inspection records, 29 California RCFEs were cited for this deficiency. It is classified as Type B, indicating a potential risk if left uncorrected. Los Angeles County accounted for 13 of these citations, suggesting larger counties with higher inspection volumes see this issue more frequently.

What happens if an RCFE is cited for missing medical assessment records?

A Type B citation under Section 87506(b)(10) requires the facility to submit a plan of correction and update the affected resident files. Type B citations carry civil penalties and become part of the facility's public record. CCLD may schedule a follow-up visit to verify the records are complete.

How do I fix or prevent a medical assessment documentation citation?

Audit every resident file to confirm it contains the Section 87458 medical assessment and all documented special precautions. Set a calendar reminder to update files whenever a resident's condition changes. LPAs review a sample of resident records during every annual inspection, so even small documentation gaps get caught quickly.

Does a missing medical assessment affect my RCFE license?

One Type B citation will not revoke your license on its own, but incomplete resident records are a recurring CCLD focus area during inspections. Multiple documentation deficiencies can trigger an enforcement conference and increased inspection frequency over time. Complete medical records protect both your residents and your operating license.

Related violations

Other citations in this regulation family

This information is educational and does not constitute legal advice. Consult a licensed residential care compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.

Every California assisted living facility's citation record is free to read. Browse facilities by county or look one up by name.

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