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Complaint Investigation

Kei-ai South Bay Healthcare Center

Inspection Date: August 29, 2025
Total Violations 1
Facility ID 555306
Location GARDENA, CA
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Inspection Findings

F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

discharge. RN 1 stated the SS notified nursing on 8/20/2025 that Resident 1 will be discharged on same day (8/20/2025), reason why Resident 1 was not provided education about his medications and how to administer insulin, at least 3 days prior to the discharge on [DATE REDACTED]. RN 1 stated the danger of not properly discharging Resident 1 can cause Resident 1 to be at risk of hospitalization due to HTN crisis, hypoglycemia (low sugar level) or hyperglycemia (high blood sugar). During a review of the facility's undated P&P titled, Director of Social Services, the P&P indicated Social Services administrative functions duties and responsibilities are to participate in discharge planning, development and implementation of social care plan and resident assessment. The P&P indicated social services should schedule and announce departmental meeting times, dates, places. During a review of the facility's P&P titled, Discharging the Resident, dated 12/2016, the P&P indicated, if the resident was being discharged , the facility should ensure that resident and/or responsible party received teaching and discharge instructions.

The P&P indicated if the resident was being discharge to another facility, the facility should ensure that a transfer summary is completed, and telephone report is called to the receiving facility. During a review of

the facility's P&P titled, Discharge Summary and Plan, dated 12/2016, the P&P indicated the discharge summary should include a recapitulation of the resident's stay at the facility and a final summary of the resident's status at the time of discharge. The P&P indicate the discharge summary shall include a description of the resident's: Nutrition's status and requirements Special treatments or procedures.

Medication therapy

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📋 Inspection Summary

KEI-AI SOUTH BAY HEALTHCARE CENTER in GARDENA, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 KEI-AI SOUTH BAY HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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