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Complaint Investigation

California Post-acute Care

August 27, 2025 · Lynwood, CA · 3615 E. Imperial Hiwy
Citations 2
CMS Rating 1/5
Beds 130
Provider ID 055052
Healthcare Facility
California Post-acute Care
Lynwood, CA  ·  View full profile →
Inspection Summary

CALIFORNIA POST-ACUTE CARE in LYNWOOD, CA — inspection on August 27, 2025.

Found 2 citations. 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

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 8/27/2025 at 12:34 p.m., with Laundry Staff (LS) 1, LS 1 stated to have observed broken glass in the dryer after washing Resident 2's clothes when Resident 2's room was deep cleaned.

During interviews on 8/27/2025 at 1:32 p.m. and 8/28/2025 at 2:29 p.m., with the Maintenance Supervisor (MS), the MS stated he took Resident 2's bag of belongings from the resident's room (while Resident 2 was not in the room) to the laundry department while the resident's room was being deep cleaned.

The MS stated he observed the bag of clothing on the floor and believed that Resident 2 wanted to have his clothes washed because Resident 2 was agreeable to have his room cleaned.

The MS stated he did not speak and confirm with Resident 2 if the resident wanted his clothes to be washed.

The MS also stated he did not speak with Resident 2 about his clothes because he believed Resident 2 was aware of the deep cleaning process.

During an interview on 9/2/2025 at 1:01 p.m., with the Director of Nursing (DON), the DON stated it was important to ensure staff answered residents' call lights and assist residents timely.

The DON stated, failing to assist (Resident 1), who was continent and needed staff's help (up to the bathroom or commode) could lead to falls and could leave the resident irritable, angry, and upset.

The DON stated staff should always ask the residents permission prior to moving his/her belongings.

The DON also stated, it was important to ask for permission before touching residents' belongings because it was part of residents' rights.

During an interview on 9/2/2025 at 3:35 p.m. with the Administrator (Admin), the Admin stated staff should confirm with residents if it would be acceptable to clean their clothes during deep cleaning.

Admin stated the purpose of the deep cleaning is to clean the room, not the residents' clothes and clothes should not be taken to get washed unless the resident asks.During a review of facility's Policy and Procedure (P&P) titled, Resident Dignity & Personal Privacy, dated 12/2016, the P&P indicated, The facility provides care for residents in a manner that respects and enhance each resident's dignity, individually, and right to personal privacy.

The P&P also indicated, All activities and interactions with residents by any staff, temporary agency staff, or volunteers must focus on assisting the resident in maintaining and enhancing his or her self-esteem and self-worth and incorporating the resident's goals, preferences, and choices.During a review of facility's P&P titled, Resident's Homelike Environment, dated 12/2017, the P&P indicated, Staff shall provide person-centered care that emphasizes the residents' comfort, independence, personal needs and preferences.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

California Post-Acute Care

3615 E.

Imperial Hiwy Lynwood, CA 90262

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited CALIFORNIA POST-ACUTE CARE in LYNWOOD, CA for a deficiency under regulatory tag F-F0725 during a complaint investigation conducted on 2025-08-27.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of CALIFORNIA POST-ACUTE CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-17.

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 LYNWOOD, 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 CALIFORNIA POST-ACUTE CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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