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Complaint Investigation

Artesia Palms Care Center

Inspection Date: November 25, 2025
Total Violations 1
Facility ID 555565
Location ARTESIA, CA
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

afternoon (8/21/2025) and she immediately reported it to her supervisor. During a review of the facility's Certified Nurse Assistant (CNA) Job Description, the CNA Job Description indicated, Report all changes in

the resident's condition to the Nurse Supervisor/Charge Nurse as soon as practicable. Report all accidents and incidents you observe on the shift they occur. The facility was unable to provide a P/P indicating steps to take when a resident is found on the floor. b. During an interview on 9/17/2025 at 8:11 a.m., LVN 3 stated

a neurological check should be done following a resident's fall to monitor and assess for possible cognitive changes in the resident. During a concurrent interview and record review on 9/17/2025 at 10:45 a.m., with

the Medical Records Supervisor (MRS), the MRS provided Resident 1's Neurological Assessment, which indicated Resident 1's neurological assessment was not initiated after Resident 1's fall was reported to LVN 2 on 8/21/2025 at 5 p.m., and prior to Resident 1's transfer to the GACH on 8/22/2025. During a concurrent

interview on 9/17/2025 at 11:18 a.m., after reviewing Resident 1's Neurological Assessment, the ADON stated Resident 1's neurological status was not assessed after learning he had fallen, but it should have been done. The ADON stated neurological checks were important because they identified abnormalities in

the resident's cognitive function which could possibly lead to a stroke (occurs when blood flow to the brain is interrupted) or a bleed in the brain. During an interview on 9/17/2025 at 2:24 p.m., the Director of Nursing (DON) stated a neurological assessment should be initiated after an unwitnessed fall or trauma to the head and one should have been initiated for Resident 1 after learning he had fallen. During a review of the facility's P/P, titled, Neurological Assessment (Routine) dated 1/2025, the P/P indicated the purpose of this procedure is to provide guidelines for conducting a routine neurological assessment to evaluate the resident for small changes over time that may be indicative of neurological injury.

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📋 Inspection Summary

ARTESIA PALMS CARE CENTER in ARTESIA, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 ARTESIA, 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 ARTESIA PALMS CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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