The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2022 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
FORTUNA, CA · Medicare-certified · 104 beds
Fortuna Rehabilitation and Wellness Center in Fortuna, CA has an overall 1-star rating, with 1-star health inspection and staffing scores, though quality measures are 4 stars. It also has $117,116 in fines in the last 24 months and a recent federal penalty, with cited problems including pressure ulcer care, accident prevention, and assistance with daily living.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2022 — limited pattern, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2024 — isolated incident, actual harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited July 2022 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal fine of $28,730 was recorded.
A federal fine of $88,386 was recorded.
On record with Medicare: 3 fines · $184,576 in total fines.
Federal fine
Jan 8, 2025
Federal fine
Aug 15, 2024
Federal fine
Jul 13, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.