Infinity Care Of East Los Angeles
INFINITY CARE OF EAST LOS ANGELES in LOS ANGELES, CA — inspection on September 12, 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.
Inspection Findings
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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.