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
23’23
23’24
7’25
20’26
73 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 31, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Aug 31, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Aug 5, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 17, 2026 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Jun 9, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jun 9, 2026 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Feb 10, 2026 | E · potential | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Complaint |
| Jan 9, 2026 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 9, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Jan 9, 2026 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Jan 9, 2026 | D · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Jan 9, 2026 | D · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Jan 9, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 9, 2026 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Jan 9, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 9, 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. | Routine |
| Jan 9, 2026 | 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 |
| Jan 9, 2026 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Jan 9, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 9, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Oct 15, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 15, 2025 | D · potential | Provide activities to meet all resident's needs. | Complaint |
| Oct 15, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 15, 2025 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Aug 27, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 16, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 15, 2025 | D · 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. | Complaint |
| Oct 8, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Oct 8, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Oct 8, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 8, 2024 | E · potential | Respond appropriately to all alleged violations. | Complaint |
| Oct 8, 2024 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Routine |
| Oct 8, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Oct 8, 2024 | D · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Oct 8, 2024 | D · potential | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Routine |
| Oct 8, 2024 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Oct 8, 2024 | E · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Oct 8, 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 |
| Oct 8, 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 |
| Oct 8, 2024 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| Oct 8, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Oct 8, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Oct 8, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 7, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Mar 7, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Mar 7, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Mar 7, 2024 | G · harm | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Mar 7, 2024 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Mar 7, 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. | Complaint |
| Mar 7, 2024 | D · potential | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Complaint |
| Jun 28, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 28, 2023 | E · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jun 28, 2023 | E · potential | Honor the resident's right to organize and participate in resident/family groups in the facility. | Routine |
| Jun 28, 2023 | 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 |
| Jun 28, 2023 | E · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Jun 28, 2023 | 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 |
| Jun 28, 2023 | E · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Jun 28, 2023 | E · potential | Respond appropriately to all alleged violations. | Routine |
| Jun 28, 2023 | 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 |
| Jun 28, 2023 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jun 28, 2023 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Jun 28, 2023 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jun 28, 2023 | G · harm | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jun 28, 2023 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jun 28, 2023 | 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 |
| Jun 28, 2023 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Jun 28, 2023 | E · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Jun 28, 2023 | 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 |
| Jun 28, 2023 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Jun 28, 2023 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 28, 2023 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jun 28, 2023 | D · potential | Dispose of garbage and refuse properly. | Routine |
| Jun 28, 2023 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
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
Bridgeview Post Acute
521 Lorel Way, Yuba City, CA 95991 · (530) 674-9140
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056346
- Certified beds
- 130
- Legal owner
- Hanalei Holdings LLC
- Part of
- West Harbor Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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