Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
1’23
34’24
2’25
13’26
50 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 5, 2026 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Complaint |
| Aug 5, 2026 | D · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Complaint |
| Jun 25, 2026 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Complaint |
| May 8, 2026 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| May 8, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Routine |
| May 8, 2026 | E · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| May 8, 2026 | E · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| May 8, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| May 8, 2026 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| May 8, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| May 8, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 8, 2026 | F · potential | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Routine |
| May 8, 2026 | F · potential | Keep all essential equipment working safely. | Routine |
| Aug 14, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 22, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 18, 2024 | D · potential | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Routine |
| Dec 18, 2024 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Dec 18, 2024 | E · potential | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | Routine |
| Dec 18, 2024 | E · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Dec 18, 2024 | D · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Dec 18, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Dec 18, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Dec 18, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Dec 18, 2024 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Dec 18, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Dec 18, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Dec 18, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Dec 18, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 18, 2024 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Dec 18, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Dec 18, 2024 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Dec 18, 2024 | D · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Dec 18, 2024 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Dec 18, 2024 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Dec 18, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Dec 18, 2024 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Dec 18, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 18, 2024 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Dec 18, 2024 | D · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Dec 18, 2024 | E · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Dec 18, 2024 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Dec 18, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 18, 2024 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Jul 31, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jul 23, 2024 | J · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Feb 15, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Feb 15, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Feb 15, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Feb 15, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 9, 2023 | D · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Oroville Hospital Post-Acute Center
1000 Executive Parkway, Oroville, CA 95966 · (530) 533-7335
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555281
- Certified beds
- 126
- Legal owner
- Oroville Hospital
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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