Infinity Care Of East Los Angeles
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
assistance (the resident performs half of the work while the Physical Therapist completes the other half of
the work) with roll to left, roll to right, supine (lying) to sit, sit to supine, wheel chair mobility, brakes management, sit to stand, stand to sit, bed to wheelchair, wheelchair to bed, and gait on level surfaces.During a concurrent interview and record review on 9/12/2025 at 2:11PM, Resident 1's MDS, dated [DATE REDACTED], and Resident 1's Physical Therapy Certification (PTC), dated 6/5/2025, were reviewed. The MDS coordinator stated the MDS is not accurate, therefore, the PTC and MDS are not consistent, and it should be. The MDS coordinator also stated Resident 1 is at risk of falls and would require some supervision and the MDS should indicate Resident 1 required assistance.During a review of the facility's P&P titled Charting and Documentation, revised 3/2024, the P&P indicated Documentation in the medical
record will be objective, complete and accurate.5. During an interview on 9/11/2025 at 11:45AM, Resident 1's Responsible Party (RP) stated Resident 1 informed RP of the fall on 8/31/2025. RP also stated she had informed Licensed Vocational Nurse 1 (LVN 1) on 8/31/2025 of Resident 1's fall. The RP stated she made
the Director of Nursing (DON) aware of Resident 1's fall on 9/1/2025.During an interview on 9/11/2025 at 12:36PM, LVN 1 stated the RP informed him of Resident 1's fall. LVN 1 also stated because Resident 1 stated she did not fall; LVN 1 does not need to do anything else.During an interview on 9/11/2025 at 1:53PM, the DON stated when a resident is suspected of a fall, an investigation would be needed to determine the fall.During an interview and record review on 9/12/2025 at 11:37AM, LVN 1's Counseling Record, dated 9/1/2025, was reviewed. The DON stated LVN 1 was written up and was provided education for the lack of reporting and monitoring of Resident 1's alleged fall. During a review of the facility's P&P titled Assessing Falls and Their Causes, revised 3/2024, the P&P also indicated if an assessment rules out significant injury, help the resident to a comfortable sitting, lying, or standing position, and then document relevant details. The P&P also indicated to notify the following individuals but not limited to the nurse supervisor on duty and the DON.During a review of the facility's P&P titled Investigating Resident Injuries, revised 3/2024, the P&P indicated if an incident/accident is suspected, a nurse or nurse supervisor completes the facility-approved accident/incident form.During a review of the facility's P&P titled Change in
a Resident's Condition and Status, revised 3/2024, the policy indicated the nurse will record in a resident's medical record information relative to changes in the resident's medical/mental condition or status.During a
review of the facility's P&P titled Safety and Supervision of Residents, revised 3/2024, the P&P indicated employees shall be trained on potential accident hazards and demonstrate competency on how to identify and report accident hazards and try to prevent avoidable accidents.6. During a concurrent interview and
record review on 9/12/2025 at 1:51PM, Resident 1's Progress notes, dated 8/31/2025 to 9/2/2025, were reviewed. The DON stated there is no monitoring for Resident 1's fall other than 8/31/2025 for 3pm-11pm shift and 9/1/2025 for the 7am-3pm shift. The DON also stated there should be documentation on monitoring Resident 1 for 8/31/2025 11pm to 7am shift, 9/1/2025 3pm to 11pm shift and 11pm to 7am shift, 9/2/2025 3pm to 11pm shift and 11pm to 7am shift.During a review of the facility's Policy and Procedure (P&P) titled Fall and Management of Fall Risk, revised 3/2024, the P&P indicated the staff will monitor and document responses to interventions intended to reduce falling or the risk of falling for the resident who experienced a fall.During a review of the facility's P&P titled Assessing Falls and Their Causes, revised 3/2024, the P&P indicated when a resident falls, documentation includes, but not limited to, assessment data, interventions, completion of fall risk assessment, and signature and title of person documenting.
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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.