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Complaint Investigation

Colonial Gardens Nursing Home

Inspection Date: November 18, 2025
Total Violations 1
Facility ID 555715
Location PICO RIVERA, CA
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

the DON stated the piece of wood on Resident 2's the window was for temporary protection until the Maintenance could install a new window for the resident. The DON stated changing the window frame as soon as it was received, was considered a priority, and it needed to be fixed right away for the Residents' safety. The DON also stated cold air could come inside Resident 2's room through the gap and could make

the resident feel uncomfortable. The DON stated the MA should have replaced Resident 2's window as soon as it was ready, regardless of the weekend. The DON stated the facility was residents' homes and should be kept clean, safe and in working conditions for the residents. During a review of the facility's Policies and Procedures (P&P) titled, Maintenance Services dated 2001, the P&P indicated the maintenance department is responsible for always maintaining the building grounds and equipment in a safe and operable manner. The P&P indicated functions of maintenance personnel included maintaining the building is in good repair, free from hazards and establishing priorities in providing repair services. During a

review of the facility's P&P titled, Homelike Environment dated 2001, the P&P indicated Residents are provided with a safe, clean, comfortable and homelike environment.

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📋 Inspection Summary

COLONIAL GARDENS NURSING HOME in PICO RIVERA, 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 PICO RIVERA, 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 COLONIAL GARDENS NURSING HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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