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Health Inspection

Clear View Convalescent Center

March 27, 2026 · Gardena, CA · 15823 So. Western Ave.
Citations 1
CMS Rating 5/5
Beds 99
Provider ID 555880
Healthcare Facility
Clear View Convalescent Center
Gardena, CA  ·  View full profile →
Inspection Summary

CLEAR VIEW CONVALESCENT CENTER in GARDENA, CA — inspection on March 27, 2026.

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

FF0656
Resident Assessment and Care Planning Deficiencies

During a review of Resident 37's History and Physical (H&P) dated 12/16/2025, the H&P indicated Resident 37 did not have the capacity to understand and make decisions.

During a review of Resident 37's Minimum Data Set (MDS- a resident assessment tool) dated 12/17/2025, the MDS indicated Resident 37's cognition (process of thinking) was significantly impaired for memory and thinking and required cueing and supervision in daily tasks. Resident 37 required moderate assistance from one staff member for activities of daily living (bathing, toileting and eating). Resident 37 walked using a walker with set up and supervision assistance from one staff member.

During a review of the Weekly Skin Evaluation note dated 3/11/2026 at 8:40 a.m., the note indicated the presence of a right buttock stage 2 pressure ulcer (partial-thickness loss of skin, presenting as a shallow open sore or wound) measuring 5 x 1.6 x 0.1 centimeters (cm-a unit of measurement) and a left buttock stage 2 pressure ulcer measuring 6 x 1.3 x 0.1 cm.

During a concurrent interview and record review on 3/26/2026 at 12:27 p.m. with the Director of Nursing (DON), Resident 37's care plans were reviewed.

The DON confirmed care plans were not developed or implemented for Resident 37's two stage 2 pressure ulcers.

The DON stated care plan interventions were not created for the management of Resident 37's two stage 2 pressure ulcers.

The DON stated not having a care plan for stage 2 pressure ulcers put Resident 37 at risk for worsening pressure ulcers and the wounds could get worse.

During a review of the facility's policy and procedure (P&P) titled, Pressure Sore and Wound Management, undated, the P&P indicated if pressure areas were present, documentation of findings would be entered in nursing progress notes, care plan and weekly skin assessment.

During a review of the facility's P&P titled, Resident's Care Plan Long & Short Term, undated, the P&P indicated a skin break was an example of a short-term problem that required a short-term care plan.

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

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 GARDENA, 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 CLEAR VIEW CONVALESCENT CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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