Griffith Park Healthcare: G-Tube Care Plan Missing - CA
Inspectors documented the gap during a complaint inspection on April 30, 2026. The resident, identified only as Resident 3 to protect her identity, had been readmitted to the facility with unspecified protein-calorie malnutrition, unspecified dementia, and a gastrostomy tube already in place. A gastrostomy tube, or G-tube, is a device inserted through the abdominal wall directly into the stomach, used when a person can no longer take in adequate food or liquid by mouth.
A physician order dated October 2, 2025, spelled out exactly what Resident 3 required: Jevity 1.2 formula delivered at 50 milliliters per hour for 20 hours a day, providing 1,000 milliliters and 1,200 calories over a 24-hour period, administered via pump on a specific schedule. The order was there. The care plan was not.
When inspectors reviewed Resident 3's care plans, they found nothing addressing the G-tube. Not its use. Not how to care for it. Not what to watch for, or what goals staff should be working toward on her behalf.
A March 2026 assessment had already noted that Resident 3's cognitive skills for daily decision-making were moderately impaired. She could not advocate for herself or flag problems with her own care. The feeding tube was her primary source of nutrition, and no written plan existed to guide the people responsible for maintaining it.
The Director of Nursing, interviewed the same afternoon inspectors pulled the records, said care plans existed to make sure goals were met and to show staff how to address each resident's specific needs. If a resident's condition changed, the DON said, the care plan would be revised to reflect that. A Quality Assurance Nurse present during the same interview added that care plans gave staff specific goals and interventions so they knew how to care for each resident.
Neither acknowledged that Resident 3 had none.
The facility's own written policy required a comprehensive, person-centered care plan to be developed within seven days of completing a required assessment, and no later than 21 days after admission. The March 3, 2026 assessment had been completed nearly two months before the April 30 inspection. The care plan still had not been written.
Inspectors rated the violation at the minimal harm level, meaning they did not find evidence that Resident 3 had been injured as a result. But their finding noted the deficiency had the potential to cause confusion in her care and to negatively affect her psychosocial wellbeing. For a resident with moderate cognitive impairment who depends entirely on a tube for nutrition, confusion in care is not an abstract risk.
The violation affected one of five residents whose records inspectors sampled during the complaint inspection.
What the report does not say is how long the gap existed before anyone noticed, or whether any staff member had ever flagged it internally. The physician order in place since October 2025 described a precise, twice-daily feeding regimen. Someone had been carrying it out. Whether they had anything in writing to guide them, or any documented goals to measure their work against, the record does not show.
Resident 3, her dementia progressing, her body dependent on a pump and a tube for every calorie she receives, had no care plan in her file when inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Griffith Park Healthcare Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
GRIFFITH PARK HEALTHCARE CENTER in GLENDALE, CA was cited for violations during a health inspection on April 30, 2026.
Inspectors documented the gap during a complaint inspection on April 30, 2026.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.