Infinity Care Of East Los Angeles
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure resident specific care plans (document that outlines
the facility's plan to provide personalized care to a resident based on the resident's needs) was developed and implemented for one (1) of two (2) sampled residents (Resident 1) in accordance with the facility policy.
This deficient practice had the potential for Resident 1 not to receive interventions specific to the resident's needs which could affect resident's overall health and wellbeing.Findings: During a review of Resident 1's admission Record, the admission Record indicated the resident was admitted to the facility on [DATE REDACTED] and was readmitted on [DATE REDACTED] with diagnoses that included cellulitis (a skin infection that causes swelling and redness) of right lower leg, peripheral vascular disease (PVD - a slow progressive narrowing of the blood flow to the arms and legs) and dermatitis (inflammation of the skin which causes itching, dryness, rashes, redness and swelling). During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool), dated 7/31/2025, the MDS indicated Resident 1 had severe impairment in cognitive (mental action or process of acquiring knowledge and understanding) skills for daily decision making. The MDS also indicated Resident 1 required substantial/maximal assistance (helper does more than half the effort) with personal and toileting hygiene, shower, upper and lower body dressing and putting on/taking off footwear.
The MDS further indicated Resident 1 required partial/moderate assistance (helper does less than half the effort) with oral hygiene and required supervision (helper provides cues) with eating. During an interview on 10/22/2025 at 10:40 AM, Certified Nursing Assistant 1 (CNA 1) stated she has seen Resident 1 scratched her legs, ears, and almost her entire body. During an interview on 10/23/2025 at 12:21 PM, Licensed Vocational Nurse 1 (LVN 1) stated Resident 1 had the behavior of scratching on her arms and legs and picking on her dressing. During a concurrent record review and interview on 10/24/2025 at 9:31 AM, the Director of Nursing (DON) stated Resident 1 did not and should have had a care plan to address resident's behavior of scratching her legs and picking on her dressing. The DON also stated Resident 1's wounds on
the right leg could have been prevented from getting exposed due to the dressings coming off if the facility had a specific care plan intervention on the resident's behavior. During a review of the facility's Policy and Procedure (P&P) titled, Care Plans, Comprehensive Person - Centered, revised March 2022, the P&P indicated a comprehensive, person-centered care plan includes measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs is developed and implemented for each resident.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
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.