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Complaint Investigation

Infinity Care Of East Los Angeles

August 28, 2025 · Los Angeles, CA · 101 S Fickett Street
Citations 1
CMS Rating 2/5
Beds 99
Provider ID 056063
Healthcare Facility
Infinity Care Of East Los Angeles
Los Angeles, CA  ·  View full profile →
Inspection Summary

INFINITY CARE OF EAST LOS ANGELES in LOS ANGELES, CA — inspection on August 28, 2025.

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.

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Inspection Findings

FF0559
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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.

Facility ID:

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.


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