Violation

California Code § 87224(a)(4)Resident Reappraisal

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

Type B, generalAffects rcfe33 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 § 87224(a)(4) actually says

California Code § 87224(a)(4)

If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

LPAs review reappraisal records closely when a resident has had a hospitalization, a fall, or a significant decline. If the reappraisal identifies unmet needs and the resident is still in your community without a documented action plan, you will receive a citation. Set a calendar reminder for 30 days after any major resident change to confirm the reappraisal is complete, filed, and that follow-up steps are underway.

By the numbers

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

33 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 Resident Reappraisal

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

Common practices

Conduct a reappraisal when a resident's condition changes or new needs are identified after admission.
If the reappraisal shows the facility cannot meet the resident's needs, the operator and reappraiser must document this finding.
Initiate appropriate next steps, which may include transfer to a higher level of care or a more suitable facility.
Do not retain a resident whose assessed needs exceed what the RCFE is licensed to provide.

What to avoid

Failing to reappraise a resident after a significant change in health, cognition, or behavior.
Documenting that the facility cannot meet a resident's needs but taking no action to relocate them.
Retaining residents whose care needs have grown beyond the RCFE's licensed scope of care.
Reappraisals completed without proper documentation or without involvement of a qualified professional.

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 Resident Reappraisal, last 90 days
County	Citations	Facilities	Citation rate
Los Angeles	7	--	--
San Diego	5	--	--
Sacramento	5	--	--
Orange	2	--	--
Placer	2	--	--
Alameda	2	--	--
Riverside	2	--	--
Butte	1	--	--
Sonoma	1	--	--
San Mateo	1	--	--

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 resident reappraisal appropriateness violation in an RCFE?

A resident reappraisal appropriateness violation under Title 22, Section 87224(a)(4) occurs when an RCFE identifies through a reappraisal that it cannot meet a resident's needs but fails to act on that finding. The regulation requires the licensee and the reappraiser to acknowledge when the facility is no longer appropriate for the resident. Once identified, the operator must take timely steps toward a safer placement for that individual.

How common are resident reappraisal citations in California assisted living?

Public CCLD inspection records show 30 California RCFEs were cited for reappraisal appropriateness violations under this section. The dominant classification is Type B, meaning the violation poses a potential risk that could become serious if not corrected. Citations appeared across 11 counties, with Sacramento and San Diego each accounting for 5 of the 34 total citations issued.

What happens if an RCFE is cited for failing to act on a reappraisal?

A Type B citation under this section requires the facility to submit a plan of correction to CCLD within a specified timeframe. The facility must document how it will address the resident's unmet needs, whether through additional services or transfer to a more appropriate care setting. Type B citations still become part of the facility's public record and count toward the overall compliance history reviewed at renewal.

How do I fix or prevent a reappraisal appropriateness citation?

Complete a reappraisal promptly whenever a resident experiences a significant change in condition or a new need is identified. If the reappraisal reveals needs your facility cannot meet, document the finding and begin working with the resident's family and physician on a transition plan. Keep copies of all reappraisal paperwork and correspondence showing you took timely action. Train staff to report changes in resident status immediately so no reappraisal is missed.

Does a reappraisal citation affect my RCFE license?

Yes. CCLD considers the full compliance history during license renewal, including Type B citations. A pattern of failing to act on reappraisals suggests the facility is admitting or retaining residents whose needs exceed its licensed capabilities. This can lead to increased monitoring, a conditional license, or restrictions on new admissions imposed by Community Care Licensing Division.

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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