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Inspection visit

Health inspection

Bishop Care CenterCMS #5557771 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

555777 06/09/2025 Bishop Care Center 151 Pioneer LN Bishop, CA 93514
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Based on interview and record review, the facility failed to provide sufficient number of nursing staff when the 3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility) staffing requirement was not met. This failure had the potential to result in unmet resident's needs, such as psychosocial, physical needs, and safety concerns for 95 vulnerable residents. Findings: An unannounced visit was conducted on June 9, 2025, to investigate a complaint with allegations that included quality of care and staffing concern. During a telephone interview on June 9, 2025, at 4:08 PM, with the License Vocational Nurse (LVN 1), LVN 1 reported that on May 18, 2025, she observed the call light was activated for 40 minutes without the Certified Nursing Assistant (CNA) present to respond to it. During a concurrent telephone interview and record review on June 11, 2025, at 3:30 PM, with the Director of Staff Development (DSD), the facility's staffing waiver for Certified Nursing Assistant (CNA), issued by the California Department of Public Health was examined. The staffing waiver document indicated approval for 2.4 [hours] DHPPD for CNA, valid from July 1, 2024 to June 30, 2025, under the following conditions: .2. The facility shall provide a minimum of no less than 3.5 direct care service hours per patient day . Additionally, the facility staffing assignments from May 18, 2025 through June 10, 2025, were reviewed with the DSD. The staffing assignment indicated the waiver condition to provide 3.5 direct care service hours per patient day was not met on the following dates: a. May 18, 2025 - actual DHPPD was 2.50 hours (short by 1) b. June 6, 2025 - actual DHPPD was 3.07 hours (short by 0.43) c. June 7, 2025 - actual DHPPD was 2.81 hours (short by 0.69) d. June 8, 2025 - actual DHPPD was 2.72 hours (short by 0.78) e. June 9, 2025 - actual DHPPD was 2.97 hours (short by 0.53) Page 1 of 2 555777 555777 06/09/2025 Bishop Care Center 151 Pioneer LN Bishop, CA 93514
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some The DSD acknowledged the facility did not meet the staffing requirements on the above dates and emphasized the necessity of adequate staffing for patient safety. During a telephone interview on June 11, 2025, at 3:42 PM, with the Director of Nursing (DON), the DON acknowledged, the facility failed to meet the required staffing requirements on May 18, 2025, June 6, 2025, through June 9, 2025. Furthermore, the DON indicated inadequate staffing can adversely affects the quality of care, skin care, and all facets of resident care and safety. 555777 Page 2 of 2

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Citations

1 citation 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.

  • 0725GeneralS&S Epotential for harm

    F725 - Nursing Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

FAQ · About this visit

Common questions about this visit

What happened during the June 9, 2025 survey of Bishop Care Center?

This was a inspection survey of Bishop Care Center on June 9, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Bishop Care Center on June 9, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each ..."

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.

SourceView 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.