Violation

California Code § 87615(a)(1)Pressure Injuries

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

Type A, seriousAffects rcfe101 facilities cited in the last 90 days

ℹ️ 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 § 87615(a)(1) actually says

California Code § 87615(a)(1)

Stage 3 and 4 pressure injuries.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

96 California RCFEs were cited for retaining residents with severe pressure injuries. LPAs will check resident skin during walks and review admission records. Transfer residents to skilled nursing immediately if a wound reaches stage 3 to avoid a Type A citation.

By the numbers

101^*CCLD: facilities cited in the last 90 days
15^*CCLD: counties where this citation appeared
--^*CCLD: rank among most-common citations
Trajectory: Steady

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

Check a facility

What other providers do

Common practices to stay clear of Pressure Injuries

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

Common practices

Conduct thorough skin assessments prior to admitting a new resident.
Perform daily checks for residents with limited mobility.
Transfer residents to a skilled nursing facility if a pressure injury reaches stage 3.

What to avoid

Failing to assess a resident's skin properly upon move-in.
Allowing a stage 2 pressure injury to worsen without updating the care plan.
Retaining a resident because the family refuses a transfer to skilled nursing.

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 Pressure Injuries, last 90 days
County	Citations	Facilities	Citation rate
Los Angeles	53	--	--
Sacramento	10	--	--
Ventura	5	--	--
Orange	4	--	--
Alameda	4	--	--
Solano	3	--	--
Contra Costa	3	--	--
Kern	2	--	--
Placer	2	--	--
San Mateo	2	--	--

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-05-30Updated weekly

FAQ

Frequently asked questions

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

What is a pressure injury violation in an assisted living facility?

Title 22, Section 87615(a)(1) prohibits California assisted living facilities from admitting or retaining residents with stage 3 or 4 pressure injuries. These severe wounds require specialized medical care that exceeds standard RCFE licensing. Facilities must arrange a transfer to a higher level of care if a resident develops one.

How common are pressure injury violations in California assisted living?

According to California CCLD inspection records, 96 California RCFEs were cited for this issue. This accounts for 0.73 percent of facilities. CCLD issues a Type A citation because these injuries pose a direct and immediate risk to resident health. Los Angeles county reports the highest number of these deficiencies.

What happens if an RCFE is cited for a stage 3 or 4 pressure injury?

The California CCLD issues a Type A citation when a facility retains a resident with a stage 3 or 4 pressure injury. This serious violation carries civil penalties. The operator must immediately arrange appropriate medical care or transfer the resident to a licensed skilled nursing facility to correct the deficiency.

How do I prevent pressure injury violations in my RCFE?

Implement strong repositioning schedules for residents who spend long periods in bed or wheelchairs. Conduct daily skin checks to catch early stage wounds before they worsen. If a wound progresses to stage 3, coordinate with a physician and plan a transfer immediately. Proper staffing helps maintain these prevention routines.

Does a pressure injury violation affect my RCFE license?

Yes. Retaining residents with stage 3 or 4 pressure injuries triggers strict scrutiny from Community Care Licensing. Recurring failures to transfer these residents can lead to probation, conditional licenses, or revocation. You must document all skin assessments and care plans thoroughly to show compliance during state inspections.

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.

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