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Complaint Investigation

Rosemead Healthcare Center

May 1, 2025 · El Monte, CA · 4096 Easy Street
Citations 2
CMS Rating 2/5
Beds 99
Provider ID 055202
Healthcare Facility
Rosemead Healthcare Center
El Monte, CA  ·  View full profile →
Inspection Summary

ROSEMEAD HEALTHCARE CENTER in EL MONTE, CA — inspection on May 1, 2025.

Found 2 citations. 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

FF550
Minimal harm or limits. Some did not have the capacity to understand and make decisions. The H&P indicated Resident 1 was able to affected

During a review of Resident 1's Admission Records (AR), the AR indicated the facility admitted Resident 1 on 11/14/2021, and readmitted Resident 1 on 2/24/2025, with diagnoses which included bullous pemphigoid (an autoimmune disease that causes large fluid-filled blisters on the resident's skin), dementia (a progressive state of decline in mental abilities), and hemiplegia (total paralysis of the arm, leg, and trunk of the same slight of the body) and hemiparesis (weakness on one side of the body) following cerebrovascular disease (stroke, damage to the brain from interruption of its blood supply) affecting right dominant side.

During a review of Resident 1's Care Plan (CP) titled, Care Plan Report, revised on 10/16/2023, the CP indicated Resident 1 was at risk for falls related to confusion, gait/balance problems, incontinence (loss of bladder or bowel control), poor communication/comprehension (understanding), and lack of awareness of Resident 1's safety needs.

The CP's goal indicated Resident 1 will be free of falls through 5/22/2025.

The CP interventions included for the staff to anticipate and meet Resident 1's needs, review information on past falls to determine the cause of Resident 1's falls, follow the facility's fall protocol, and ensure Resident 1's personal items were within reach.

During a review of another Resident 1's CP titled, Care Plan Report, revised on 12/18/2023, the CP indicated Resident 1 preferred to sit at the edge of the bed most of the day and have her belongings such as bedside table, shoes, wheelchair next to her always.

The CP's goal indicated the staff will accommodate Resident 1's needs and preferences daily through 5/22/2025.

The CP interventions included for staff to involve Resident 1's family as needed to determine Resident 1's preferences, help with daily care to meet Resident 1's accommodation requests and needs, and to provide information as to how preferences and accommodation will be incorporated in care.

055202

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055202 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rosemead Healthcare Center 4096 Easy Street El Monte, CA 91731

During a review of Resident 1's History and Physical (H&P), dated 2/25/2025, the H&P indicated Resident 1 did not have the capacity to understand and make decisions.

The H&P indicated Resident 1 was able to make decisions for Resident 1's activities of daily living (ADLs, activities such as bathing, dressing, and toileting a person performs daily).

During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool), dated 3/3/2025, the MDS indicated Resident 1's cognitive (a person's mental process of thinking, learning, remembering, and using judgement) skills were severely impaired.

The MDS indicated Resident 1 required moderate assistance (helper does less than half the effort) with eating (.

The MDS indicated Resident 1 was dependent (helper does all the effort) on staff for transferring from bed to chair and rolling from lying on her back to left or right side.

The MDS indicated Resident 1 used a wheelchair (a chair fitted with wheels for transportation) for transportation within the facility.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

055202

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055202 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Rosemead Healthcare Center 4096 Easy Street El Monte, CA 91731

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 ROSEMEAD HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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