Artesia Palms Care Center
ARTESIA PALMS CARE CENTER in ARTESIA, CA — inspection on November 12, 2025.
Found 1 citation. 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.
Inspection Findings
During a review of Resident 2's Nurse's Notes, dated 10/31/2025 and timed at 10:28 a.m., the Nurse's Notes indicated Resident 2's physician ordered Resident 2 to be transferred to a GACH for evaluation and treatment related to a physical altercation.
During a review of Resident 2's 72 Hours Charting, dated 10/31/2025 and timed at 12:19 p.m., the 72 Hours Charting indicated Resident 2 was transferred to a GACH at approximately 12:15 p.m., for evaluation and treatment.
During a review the of the facility's Five Day Follow Up Report, dated 11/4/2025, the Five Day Follow Up Report indicated on interview with Resident 1, Resident 1 stated he was using the restroom when his roommate (Resident 2) opened the door and walked in. Resident 1 stated, I told him to get out but Resident 2 refused to leave the restroom and came towards him (Resident 1). Resident 1 stated at that point he made contact with Resident 2.
During a review of the GACH's ED (Emergency Department) Provider Notes, dated 10/31/2025 and timed at 12:48 p.m., the ED Provider Notes indicated Resident 2 presented with eye trauma after he (Resident 2) walked in on his roommate (Resident 1) in the bathroom and was punched by Resident 1.
During a review of the GACH's Computerized Tomography ([CT] a type of imaging that uses X-ray techniques to create detailed images of the body) scan without contrast (scan performed without using a contrast agent [specific dye to highlight specific tissues, organs, or blood vessels]), dated 10/31/2025 and timed at 12:38 p.m., of Resident 2's head, the CT scan indicated the following: 1. A mildly depressed nasal bone fracture. 2. A left periorbital hematoma.
During an interview on 11/12/2025 at 6:32 a.m., Resident 2 stated Resident 1 was taking too long to use the toilet (Resident 2 unable to provide details). Resident 2 stated Resident 1 punched him (Resident 2) in the face once and pushed him backwards and he (Resident 2) fell back onto the floor.
During an interview on 11/12/2025 at 8:55 a.m., the Assistant Director of Nursing (ADON) stated Resident 1 punched Resident 2 in the face after Resident 2 walked in the bathroom while Resident 1 was still using it.
The ADON stated Resident 2 sustained skin tears on his left little finger, his left eyebrow, and had facial discoloration.
The ADON stated Resident 2 was transferred to a GACH for evaluation and treatment.
The ADON stated the altercation between Residents 1 and 2 was considered physical abuse and residents had the right to be free from abuse.
During an interview on 11/12/2025 at 9:40 a.m., the Director of Nursing (DON) stated residents have the right to be free from abuse because it can damage the residents' physical and mental wellbeing.
The DON stated Resident 2 sustained injuries from the physical altercation between him and Resident 1.
During a review of the facility's policy and procedure (P&P) titled, Abuse, Neglect, Exploitation, and Misappropriation Prevention Program revised 1/2025, the P&P indicated residents have the right to be free from abuse and this includes physical abuse.
The P&P indicated there was a facility wide commitment to protect residents from abuse from other residents.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.