Griffith Park Healthcare Center
Inspection Findings
F-Tag F0656
F 0656
ongoing, and care plans are revised as information about the residents' conditions change.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
01/29/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Griffith Park Healthcare Center
201 Allen Ave.
Glendale, CA 91201
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
Based on observation, interview and record review, the facility failed to implement infection control practices
in accordance with the facility's Policy and Procedure (P&P) titled Oxygen Administration and Departmental (Respiratory Therapy) for a one of two sampled residents ( Resident 1) by failing to : Ensure Resident 1's oxygen tubing (a flexible plastic tube, often green, that delivers supplemental oxygen from a tank or concentrator to a patient via nasal prongs) was labeled with a date the oxygen tubing was last changed.Ensure Resident 1's breathing nebulizer (a device that converts liquid medication into a fine mist for inhalation) was changed within seven (7) days. The nebulizer was last dated 1/5/2026.Document oxygen set- up, which included the date and time the procedure was performed in Resident 1's medical record.
These deficient practices had the potential to increase the risk and spread of infections. Findings: During a
review of Residents 1's admission Record (AR), the AR indicated Resident 1 was admitted to facility on 08/08/2026, with a diagnosis of chronic respiratory failure (lungs can't get enough oxygen), obstructive pulmonary disease (blocked airways, hard to breathe out) and delusional disorders (false beliefs). During a
review of Resident 1's History and Physical (H&P), dated 8/11/2026, the H&P indicated Resident 1 has the capacity to understand and make decisions. During a review of Resident 1's Minimum Data Set (MDS- a resident assessment tool), dated 11/15/2025, indicated resident is cognitively intact (can understand, remember and make decisions appropriately) and requires moderate assistance (helper does less than half
the effort) with Activities of Daily living ( ADLS) such as personal and oral hygiene, and dressing. During a
review of Resident 1' s Order Summary Report, the report indicated an order start date of 12/25/2025 for oxygen at 5 liters per minute(lpm) by nasal canula (small tub in the nose that gives extra oxygen) to be administered continuously (all the time) every shift. During an observation on 1/28/2026 at 10:30AM in Resident 1's room, Resident 1's oxygen tubing was observed without a date or time to indicate when the tubing was last changed and breathing nebulizer tubing was dated 1/5/2026. During a concurrent
observation and interview on 1/28/2026 at 11 AM with Licensed Vocation Nurse (LVN) 1 in Resident 1's room, Resident 1's oxygen tubing and breathing nebulizer was observed. LVN 1 stated oxygen tubing must be dated to ensure staff know when to change the tubing next. During a concurrent observation and
interview on 1/28/2026 at 11:45 AM with Registered Nurse ( RN1), Resident 1's oxygen tubing and nebulizer was observed. RN 1 stated the oxygen tubing was not labeled and should be labeled weekly to ensure the tubing was changed to prevent infection. RN1 stated the nebulizer tubing was dated 1/5/2026 and that the tubing should have been changed since not changing the nebulizer tubing would increase the risk of infection. RN 1 stated there was no way to know when the tubing's were last changed since there was no date or documentation to indicate when Resident 1's oxygen tubing was changed. RN 1 stated that
the nebulizer tubing was last changed on 1/5/2026, since that date was indicated on the label, and that the nebulizer tubing should have been changed every 7 days, which would have been last changed on 1/19/2026. During a review of the facility's policy and procedure (P&P) titled Oxygen Administration dated October 2010, indicated the purpose of the P&P is to provide guidelines for safe oxygen administration and documentation. The policy requires that, after completing oxygen se-up, the date and time the procedure was performed be documented in the resident's medical record. During a review of the facility's P&P titled Departmental ( Respiratory Therapy)dated November 2011 indicated the purpose of the P&P is to guide prevention of infection associated with respiratory therapy tasks and equipment, including ventilators , among residents and staff. The P&P indicates to change the oxygen cannula and tubing every seven ( 7) days, or as needed and to document the following information in the resident's medical record, the date and time the respiratory therapy was performed.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
GRIFFITH PARK HEALTHCARE CENTER in GLENDALE, 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 GLENDALE, 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 GRIFFITH PARK HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.