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Complaint Investigation

Arcadia Care Center

February 13, 2025 · Arcadia, CA · 1601 S Baldwin Ave.
Citations 2
CMS Rating 2/5
Beds 164
Provider ID 555729
Healthcare Facility
Arcadia Care Center
Arcadia, CA  ·  View full profile →
Inspection Summary

ARCADIA CARE CENTER in ARCADIA, CA — inspection on February 13, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF580
Minimal harm or stated Resident 1's TF indicated Resident 1 was transferred to GACH 1 on 1/29/2025 at 1:12 am. The DON Few was not documented, it was not done. The DON stated notifications (to resident's representative) and affected

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 1/16/2025, the MDS indicated Resident 1 was rarely/never understood by others and had the ability to rarely/never understand others.

The MDS indicated Resident 1 was dependent (helper does all of the effort) on staff for showering/bathing self, upper and lower body dressing, putting on/taking off footwear, and oral, toileting, and personal hygiene.

During a review of Resident 1's Progress Notes (PN), dated 1/29/2025, timed at 7:51 am, the PN indicated Resident 1 was discharged to the hospital.

During a concurrent interview and record review on 2/13/2025 at 1:57 pm with the Director of Staff Development (DSD), Resident 1's Transfer Form (TF) dated 1/29/2025 and timed at 1:12 am was reviewed.

The TF indicated Resident 1 was transferred to GACH 1 at 2 am due to a respiratory infection (an infection affecting the nose, throat, airways, and lungs).

The DSD stated the TF indicated Licensed Vocational Nurse 1 (LVN) 1 transferred Resident 1 to GACH 1.

The DSD stated the TF indicated the name of R1 as Resident 1's emergency contact but did not include the time LVN 1 notified R1.

During an interview on 2/13/2025 at 2:29 pm with LVN 1, LVN 1 stated LVN 1 did not remember the time LVN 1 contacted R1 about Resident 1's transfer to GACH 1.

555729

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 555729 B.

Wing 02/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Arcadia Care Center 1601 S Baldwin Ave.

Arcadia, CA 91007

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 1/16/2025, the MDS indicated Resident 1 was rarely/never understood by others and rarely/never understood others.

The MDS indicated Resident 1 was dependent (helper does all of the effort) on staff for showering/bathing self, upper and lower body dressing, putting on/taking off footwear, and oral, toileting, and personal hygiene.

During a review of Resident 1's Progress Notes (PN), dated 1/29/2025, timed at 7:51 am, the PN indicated Resident 1 was discharged to the hospital.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

555729

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 555729 B.

Wing 02/13/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Arcadia Care Center 1601 S Baldwin Ave.

Arcadia, CA 91007

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ARCADIA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ARCADIA CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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