Infinity Care Of East Los Angeles
Inspection Findings
F-Tag F0559
F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
8/28/2025 at 11:47 AM with SSD, SSD stated Residents 1 and 2 constantly argue and they were told on 8/13/2025 that they needed to stop or they would be separated. SSD stated both Residents 1 and 2 had another argument on 8/15/2025 and because Resident 1 had asked LVN 1 to remove Resident 2 from their room, it was reported to the Administrator (ADM), and they were separated. SSD also stated that Resident 2 has expressed that she would like to be back with her spouse, Resident 1. During a review of Resident 1's Psychosocial Note, dated 8/15/2025, timed at 3:32 PM, Resident 1's Psychosocial Note indicated the Interdisciplinary Team (IDT; a group of diverse professionals from different disciplines who collaborate to achieve a common goal, typically by addressing complex issues for a patient) spoke with Resident 1 regarding the incident where Resident 2 was yelling and throwing papers at him. The note indicated Resident 1 had stated that he and Resident 2 should not be separated and that the argument was not a big deal. Resident 1 stated he felt safe with Resident 2 together in their room.During an interview on 8/28/2025 at 12:23 PM with ADM, ADM stated on 8/15/2025 Residents 1 and 2 were verbally notified of the room change and that he did unsubstantiate the allegation of verbal abuse between Residents 1 and 2. ADM stated that both Residents 1 and 2 have been expressing that they wanted to be back together and that
they had both told the psychiatrist. ADM further stated that he understood that keeping the residents apart is a resident rights issue but decided to keep them apart as a safety precaution. During a review of Resident 2's Psychosocial Note dated 8/18/2025, Resident 2's Psychosocial Note indicated SSD and Social Services Assistant (SSA) spoke with Resident 2 and Resident 2 had asked them when she would be able to go back into her previous room with her spouse, Resident 1. SSD had told Resident 2 that the transfer back was still in question due to her tendency to argue with Resident 1. During a review of Resident 1's Initial Psychiatric Evaluation dated 8/18/2025, Resident 1's Initial Psychiatric Evaluation indicated Resident 1 stated he would like Resident 2 to return to their room as they were separated and also stated that he is sad Resident 2 is in another room and that he feels safe in the facility and would feel safe if Resident 2 would return.During a review of Resident 2's Initial Psychiatric Evaluation dated 8/18/2025, Resident 2's Initial Psychiatric Evaluation indicated Resident 2 stated she was upset and the incident of her yelling at him would not happen again and that she would like to return to the room with Resident 1. During a concurrent interview and record review on 8/28/2025 at 1 PM with the Director of Nursing (DON), Resident 1's Psychosocial Note, dated 8/15/2025, and timed at 3:32 PM and the facility's Policy and Procedure (P&P) titled, Resident Rights, revised December 2016 were reviewed. The Facility's P&P indicated, Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: share a room with a spouse, if that is mutually agreeable. The DON stated if both Residents 1 and 2 had expressed that they wanted to be back together, then they should have been put back together. The DON further stated that since Resident 1 is Resident 2's responsible party, if they wanted to be back together, per policy it is their right.During an interview on 8/28/2025 at 1:21 PM with RNA 1, RNA 1 stated that since Residents 1 and 2 were first separated on 8/15/2025, Resident 1 had expressed to her multiple times that he would like to be back with Resident 2 in their room. During a
review of the facility's P&P titled, Resident Rights, revised December 2016, the P&P indicated, Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: share a room with a spouse, if that is mutually agreeable.
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INFINITY CARE OF EAST LOS ANGELES in LOS ANGELES, 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 LOS ANGELES, 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 INFINITY CARE OF EAST LOS ANGELES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.