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Inspection visit

Inspection

LINDSAY GARDENS NURSING & REHABILITATIONCMS #5556632 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 2 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Based on interview and record review the facility failed to develop a base line care for one of four sample resident (Resident 1) who was admitted with a left arm cast (a medical treatment used to support bone during healing process). This failure has the potential for Resident 1's left-ham cast to develop complications without staff awareness and unmet care needs. Findings:During a review of Resident 1's Progress Notes (PN), dated 10/22/25, the PN indicated, Resident 1 was admitted with a left arm cast.During a concurrent interview and record review on 12/15/25 at 12:15 p.m. with Director of Nurses (DON), Resident 1's clinical record was reviewed. DON confirmed Resident 1 was admitted with a left arm cast. DON was unable to find a care plan for Resident 1's left arm cast. During a review of the facility's policy and procedure (P&P) titled, Care Plans-Baseline, dated 3/22, the P&P indicated, A baseline plan of care to meet the resident's immediate health and safety needs is developed for each resident within forty-eight (48) hours of admission. Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 555663 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555663 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lindsay Gardens Nursing & Rehabilitation 1011 W. Tulare Road Lindsay, CA 93247 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review the facility failed to ensure a follow-up visit with orthopedic doctor (treats injuries and disease affecting bones, muscle, and etc.) was made for one for four sampled residents (Resident 1). This failure resulted in Resident 1 not being seen by an orthopedic doctor and potential for increased risk of complications, prolonged recovery, and worsening pain.Findings:During a review of Resident 1's Interdisciplinary Team (IDT) note, dated 10/23/25, the IDT indicated, She [Resident 1] does have a cast (a medical treatment used to support bone during healing process) in place to left arm. She will need ortho follow up. During a concurrent interview and record review on 12/15/25, at 1:27 p.m. with Licensed Vocational Nurse (LVN), LVN stated Resident 1 was admitted with a left arm cast. LVN stated Resident 1 had insurance issues and had difficulty looking for an orthopedic doctor. LVN stated Social Service Designee (SSD) was aware of the situation and did not do anything else to ensure Resident 1 had a follow-up appointment with an orthopedic doctor.During an interview on 12/15/25 at 1:40 p.m. with SSD, SSD stated she was not aware Resident 1 required a follow up orthopedic doctor. SSD stated no follow up with an orthopedic doctor was made for Resident 1.During a review of the facility's policy and procedure (P&P) titled, Referrals, Social Services, dated 12/2008, the P&P indicated, Social services shall coordinate most resident referrals with outside agencies. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555663 If continuation sheet Page 2 of 2

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Citations

2 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0655GeneralS&S Dpotential for harm

    F655 - Comprehensive Person-Centered Care Planning

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

  • 0745GeneralS&S Dpotential for harm

    F745 - The facility must provide medically-related social services to attain or

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

FAQ · About this visit

Common questions about this visit

What happened during the December 15, 2025 survey of LINDSAY GARDENS NURSING & REHABILITATION?

This was a inspection survey of LINDSAY GARDENS NURSING & REHABILITATION on December 15, 2025. The surveyor cited 2 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at LINDSAY GARDENS NURSING & REHABILITATION on December 15, 2025?

Yes, 2 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.