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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