Fidelity Health Care
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.
Inspection Findings
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.
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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.