Inglewood Health Care Center
INGLEWOOD HEALTH CARE CENTER in INGLEWOOD, CA — inspection on February 28, 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.
Inspection Findings
During a review of Resident 1's Care Plan titled, Resident Refuses Male CNA Care, dated 8/30/2025, the goal indicated Resident 1 will receive required care while maintaining dignity, comfort, and emotional well-being.
One of the approaches indicated to assign a female CNA for personal care, document the resident's refusal of care and respect Resident 1's preference for female CAN.
During a review of Resident 1's History and Physical (H&P), dated 11/2/2025, the H&P indicated Resident 1 had the capacity to understand and make decisions.
During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 12/8/2025, the MDS indicated Resident 1 required partial/moderate assistance with personal hygiene, lower body dressing, upper body dressing, shower/bathe self, toileting hygiene. Resident 1 required supervision or touching assistance with putting on/taking off footwear, and oral hygiene. Resident 1 required setup or clean-up assistance with eating.
During a review of the facility's Nursing Assignments [Direct Care], dated 2/26/2026, 11 PM - 7:30 AM shift, the assignment indicated Resident 1 was assigned a male CNA (CNA3) to provide ADL care.
During an interview on 2/28/2026 at 11:10 AM with CNA 1, CNA 1 stated Resident 1 had expressed she did not want to have male CNA to provide her ADLs. CNA 1 stated this preference was widely known among the facility staff.
During an interview on 2/28/2026 at 12:18 PM with the Director of Nurses (DON), the DON stated Resident 1 preferred to be cared for by a female CNA and was in Resident's 1 care plan.
The DON stated Resident 1's preference to have no male CNA to care for her should be honored.
During a concurrent interview and record review on 2/28/2026 at 12:18 PM, with the DON, the facility's Nursing Assignments [Direct Care], dated 2/26/2026, was reviewed.
The DON stated on 2/26/2026 11PM to 7:30 AM shift, CNA 3, a male CNA was assigned to Resident 1 because of multiple staff that called out sick.
The DON acknowledged that, regardless of the changes and adjustments in staff assignment, Resident 1 should not have been assigned a male CNA.
The DON stated the facility should have adhered to Resident 1's preference for a male CNA only.
Respecting this choice was essential to maintaining the resident's well-being and dignity, and the residents right to make decisions about their care.
During a review of the facility's undated policy and procedure (P&P) titled, Quality of Life - Dignity, the P&P indicated residents will always be treated with dignity and respect.
The P&P indicated the facility is committed to honor resident choices, preferences, values, and beliefs which begins at the time of admission and continues throughout the residents' stay in the facility.
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