Complaint Investigation

Garden Park Care Center

April 28, 2026 · Garden Grove, CA · 12681 Haster Street

Citations 2

CMS Rating 4/5

Beds 124

Provider ID 555667

Healthcare Facility

Garden Park Care Center

Garden Grove, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

GARDEN PARK CARE CENTER in GARDEN GROVE, CA — inspection on April 28, 2026.

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.

Inspection Findings

FF0604

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Review of the facility document titled

of Resident 2's MAR dated 4/13/26, showed LVN 1 administered medications to Resident 2 at 2100 hours.

Review of Resident 2's Medication Administration Record dated 4/14/26, showed LVN 4 administered medications to Resident 2 at 0900 hours.

Review of the facility document titled 0700-1500 hours Shift Assignment dated 4/14 and 4/15/16, showed LVN 4 was assigned to Resident 2.

Review of Resident 2's medical record failed to show a signed informed consent, monitoring, assessment, physician's order, care plan, or any documentation addressing the use of soft mitten restraints on bilateral hands. On 4/23/26 at 1050 hours, a telephone interview was conducted with LVN 1.

When asked if Resident 2 was observed with hand mittens, LVN 1 stated Resident 2 arrived to the facility with the bilateral hand mittens.

When asked if Resident 2 had an informed consent signed for the hand mittens, LVN 1 stated, Not that I'm aware of.

When asked if Resident 2's hands and wrists were assessed while he had the mittens on, LVN 1 stated no. On 4/28/26 at 0819 hours, an interview was conducted with LVN 4.

When asked if Resident 2 was observed with hand mittens, LVN 4 stated the resident came back to the facility with mittens. LVN 4 further stated that would be considered a restraint, and there were no orders for restraints; therefore, she instructed a CNA to remove the restraints. On 4/28/26 at 0901 hours, an interview was conducted with CNA 1.

When asked if he was instructed to the remove mittens from Resident 2's hands, CNA 1 stated, no.

When asked if Resident 2 was seen with hand mittens on, CNA 1 stated he had seen the mittens inside Resident 2's closet last week. On 4/28/26 at 1351 hours, an interview was conducted with the DON.

The DON stated she was unaware if Resident 2 was admitted with mittens and stated, Absolutely not, we don't do mittens.

The DON stated if a resident was admitted with a soft mitten restraints, there should be documentation showing that there were physician's orders, consent, assessments, removal of the restraint every two hours to assess for circulation, and a care plan. On 4/28/26 at 1533 hours, the Administrator and DON acknowledged the above findings.

555667 04/28/2026

Garden Park Care Center 12681 Haster Street Garden Grove, CA 92840

FF0689

Quality of Life and Care Deficiencies

dated 4/10/26, showed a care plan problem addressing Resident 6's fall with bump/laceration to left

showed the following blank entries for vital signs, pupil response, motor response, consciousness,

hours;- 4/11/26 at 0755 hours; and- 4/11/26 at 2355 hours On 4/23/26 at 1345 hours, interview and concurrent medical record review for Resident 6 was conducted with RN 2.

When asked what the check mark indicated in the MAR, RN 2 stated the task was completed.

When asked how the facility would monitor the orthostatic blood pressure readings if there were no data for monitoring, RN 2 stated she could not see it. RN 2 verified Resident 6's neurological assessments had blanks and incomplete data, and the orthostatic blood pressure readings were not obtained per order. On 4/28/26 at 1351 hours, the DON verified the above findings. On 4/28/26 at 1533 hours, an interview was conducted with the Administrator and DON.

The Administrator and DON acknowledged the above findings.

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.

More Reports

About This Inspection Report

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.