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Complaint Investigation

Fidelity Health Care

September 11, 2025 · El Monte, CA · 11210 Lower Azusa Rd.
Citations 1
CMS Rating 3/5
Beds 90
Provider ID 555088
Healthcare Facility
Fidelity Health Care
El Monte, CA  ·  View full profile →
Inspection Summary

FIDELITY HEALTH CARE in EL MONTE, CA — inspection on September 11, 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 9/11/25 at 3:54 p.m. with Certified Nursing Assistant 2 (CNA 2), CNA 2 stated, Resident 1 liked to tease other residents and bother them. CNA 2 stated CNA 2 told Resident 1 to stop with his inappropriate language towards residents, but Resident 1 would do it again to other residents.

During an interview on 9/11/25 at 4:02 p.m. with Social Services Director (SSD), SSD stated Resident 1 loved to tease the residents. SSD stated, Some [residents] will respond to him others will be quiet. SSD stated, I was there that day [incident between Resident 1 and Resident 2], went out to see, and asked Resident 1 what happened. SSD stated Resident 1 told SSD Resident 1 did nothing to Resident 2.

During an interview on 9/11/25 at 4:45 p.m. with Registered Nurse 2 (RN 2), RN 2 stated yelling at someone and saying hurtful and cruel things and teasing someone and calling the person a crack head is a form of verbal abuse. RN 2 stated, name calling was a form of abuse if the resident verbalized that he or she was not comfortable about it.

During an interview with the facility's Director of Staff Development (DSD), the DSD stated, Verbal abuse is not acceptable. It falls under abuse.

Verbal can mentally hurt and damage the resident's morale.

Physical abuse, it hurts, damages you mentally and physically.

During a review of the facility's current Policy & Procedure (P&P) titled, Abuse Prevention and Response Policy, revised 3/21/25, the P&P indicated the facility would ensure the safety and well-being of all residents by preventing, identifying, reporting, and responding to any form of abuse, neglect, or exploitation.

The P&P indicated abuse is not limited to physical, emotional, sexual, and financial abuse, as well as neglect and exploitation.

Each type of abuse is defined as follows:Verbal Abuse: any use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance, regardless of their age, ability to comprehend, or disability.Emotional Abuse: Verbal or non-verbal actions causing emotional pain or distress.

Facility ID:

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 EL MONTE, 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 FIDELITY HEALTH CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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