Garden Park Care Center
Inspection Findings
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
facility was unable to substantiated Resident 1's allegation. Review of the facility's investigation was then conducted with the Administrator. The facility's investigation failed to show documentation Resident 1's roommate (Resident 2) was interviewed, or an attempt was made to interview Resident 2, specific to Resident 1's allegations. The Administrator verified the findings and stated an interview with Resident 2 should have been included as a component of the facility's investigation. The Administrator stated he had not realized (when reviewing the facility's investigation) Resident 2's interview was not included. The Administrator stated Resident 2 was a potential witness and in accordance with the facility's Abuse P&P, needed to be interviewed. The Administrator stated interviewing potential witnesses would help the facility determine whether abuse may have occurred. On 9/18/25 at 1121 hours, an interview, medical record review, and concurrent facility document review was conducted with the SSD. The SSD stated her assistant,
the SSA, conducted the interviews of the Vietnamese speaking residents, specific to the facility's investigation of Resident 1's allegations. The SSD was asked if Resident 2 (Vietnamese speaking) was interviewed during the course of the facility's investigation of Resident 1's allegations. The SSD stated the SSA had interviewed Resident 2, however, the SSD did not provide Resident 2's interview to the Administrator (Abuse Coordinator). The SSD stated she had asked the MDS Coordinator if Resident 2 had
the capacity to be interviewed. The SSD stated the MDS Coordinator told her Resident 2 had no capacity.
The SSD stated she then placed the SSA's documentation of the interview the SSA conducted with Resident 2 in the facility's shred box. The SSD stated she did not provide Resident 2's interview to the Administrator (Abuse Coordinator). The SSD then reviewed Resident 2's MDS assessment dated [DATE REDACTED], and verified Resident 2 was assessed as having moderately impaired cognition. The SSD stated the residents with moderately impaired cognition might have the capacity to provide information, specific to whether they have been the victim of an abuse or have witnessed another resident being abused. The SSD stated she should have included Resident 2's interview as a component of the facility's' investigation into Resident 1's allegation. The SSD stated all the potential witness interviews should have been provided to
the facility's Abuse Coordinator, to ensure the Abuse Coordinator had all the information necessary to determine whether resident abuse occurred. On 9/18/25 at 1148 hours, an interview was conducted with
the SSA. The SSA stated in accordance with the facility's investigation of Resident 1's allegation she was physically abused, the SSA conducted an interview with Resident 1's roommate (Resident 2). The SSA stated Resident 2 could verbalize her needs and had a general conversation specific to her needs. The SSA stated Resident 2 had the ability to articulate if someone were to abuse her. The SSA stated Resident 2 had impaired vision, however, if Resident 2 were to hear someone abuse her roommate (Resident 1) she could also articulate this information.
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GARDEN PARK CARE CENTER in GARDEN GROVE, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 GARDEN GROVE, 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 GARDEN PARK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.