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Complaint Investigation

Primrose Post-acute

Inspection Date: September 3, 2025
Total Violations 1
Facility ID 055608
Location INGLEWOOD, CA
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Inspection Findings

F-Tag F0583

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

F 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

persistent feeling of sadness and loss of interest).During a review of Resident's 3 MDS dated [DATE REDACTED], the MDS indicated Resident 3 has severe cognitive impairment, but was able to understand others. The MDS indicated Resident 3 was totally dependent on staff for ADLs such as eating, lower body dressing and personal hygiene. During a review of the facility's Pathology (laboratory) Services Invoice dated 11/1/2021,

the Invoice included Resident 3's name, Medical Record Number, date of birth (DOB) and lab charges.During an interview on 9/3/2025 at 12:15 p.m. with the MS, the MS stated he brought out the five boxes (containing facility invoices) from the storage and left them outside in the parking lot approximately two weeks ago. The MS stated, he planned on disposing of them later. During an interview on 9/3/2025 at 1:00 p.m. with the DON, the DON stated she was not aware of the boxes filled with records containing patient information left outside in the parking lot. The DON stated any documents from the facility should not have been left outside and all documents with resident 's information needing to be disposed of, should be placed in the shredder.During a review of the facility's policy and procedure (P&P) titled, Compliance Risks- Privacy, Security, and Breach Notifications, dated 4/2025, the P&P indicated the facility complies with the laws governing privacy, security and breach notification of protected health information as set forth

in the Health Insurance Portability and Accountability Act (HIPAA) and other privacy and security rules. The P&P indicated the facility maintains policies and procedures ensuring resident privacy and confidentiality including maintaining the privacy and confidentiality of residents' medical records and resident access to personal and medical records.

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📋 Inspection Summary

PRIMROSE POST-ACUTE in INGLEWOOD, 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 INGLEWOOD, 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 PRIMROSE POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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