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Complaint Investigation

Intercommunity Healthcare & Rehabilitation Center

Inspection Date: November 17, 2025
Total Violations 1
Facility ID 055457
Location NORWALK, CA
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and record review the facility failed to ensure that signs were posted at the facility entrance indicating the presence of Coronavirus Disease ([COVID-19] a potentially severe respiratory illness caused by coronavirus and characterized by fever, coughing, and shortness of breath) cases in the facility. This deficient practice had the potential to increase the risk of further spreading COVID-19 to visitors, staff, family members, and the community. Findings:During an observation on 9/26/2025 at 8:08 a.m., at the facility entrance, there were no postings indicating there were COVID-19 cases in the facility. During a review of the facility's COVID-19 Line List, dated 9/2025, the Line List indicated there were two residents (Resident's 1 and 2) who tested positive for COVID-19. The Line List indicated Resident 1 tested positive on 9/23/2025 and Resident 2 tested positive on 9/25/2025. During an

interview on 9/25/2025 at 9:58 a.m., the Infection Preventionist (IP) stated Resident 1 tested positive for COVID-19 on 9/23/2025 and Resident 2 tested positive on 9/25/2025. The IP confirmed that no public notifications or postings were made upon entrance to the facility to inform staff, residents, or visitors about

the outbreak or the presence of COVID-19 after Resident's 1 and 2 tested positive for COVID-19.During an

interview on 9/26/2025 at 2:45 p.m., the Director of Nursing (DON), stated the facility should provide COVID-19 outbreak postings to safeguard the public, staff, and visitors about the potential risk for infections upon entry in the facility. During a review of the facility's policy and procedure (P&P) titled, COVID-19 Policy, dated 5/1/2025, the P&P indicated the facility will notify residents/responsible parties of the facility COVID status as needed. The P&P indicated the facility will post visual alerts (signs, posters) at entrances and in strategic places providing instruction on hand hygiene, social distancing, etc. The P&P indicated the facility will follow CDC/CDPH guidelines, notifying residents/responsible parties of COVID cases.

Residents Affected - Few

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:

📋 Inspection Summary

INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER in NORWALK, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 NORWALK, 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 INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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