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Complaint Investigation

Downey Post Acute

Inspection Date: November 26, 2025
Total Violations 1
Facility ID 055519
Location DOWNEY, CA
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Inspection Findings

F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

Nursing (DON), the facility's policy and procedure (P&P), titled Comprehensive Person-Centered Care Planning, dated 4/2025, was reviewed. The DON stated the care planning P&P indicated care plans should have been created to address Resident 1's needs after the MASD developed on 11/3/2025, especially that Resident 1 was constantly soiled. The DON stated the P&P indicated staff should have provided the treatments and services to maintain and improve Resident 1's skin. During a review of the facility's P&P, titled Comprehensive Person-Centered Care Planning, dated 4/2025, the P&P indicated the Interdisciplinary Team ([IDT] group of healthcare professionals, including resident/ resident representative, working together to provide residents with needed care) should develop a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychological needs. The P&P indicated care plans must include interventions, planned services and treatment, and resident's goals.

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📋 Inspection Summary

DOWNEY POST ACUTE in DOWNEY, 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 DOWNEY, 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 DOWNEY POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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