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Complaint Investigation

San Gabriel Conv Center

March 14, 2025 · Rosemead, CA · 8035 E Hill Drive
Citations 1
CMS Rating 2/5
Beds 151
Provider ID 055181
Healthcare Facility
San Gabriel Conv Center
Rosemead, CA  ·  View full profile →
Inspection Summary

SAN GABRIEL CONV CENTER in ROSEMEAD, CA — inspection on March 14, 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.

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Inspection Findings

FF689
Minimal harm or but I still had to go. I don ' t know about what residents ' safety can be affected but they should listen and Some stay over. CNA1 stated she spontaneously offered herself, she felt she could do the job, and the facility did affected

During a review of CNA1 ' s Time Card for month of March 2025 and Staff Assignment Sheets, revealed on 3/8/25 CNA1 punched in to work the evening shift at 2:47 pm and punched out at 0:00 (midnight) and continued to work the night shift, then punched out on 3/9/25 at 7:01am. On the same day 3/9/25 at 2:46 pm, CNA1 punched in to work evening shift, then punched out at 0:00 (midnight) and continue to work the night shift, then punched out on 3/10/25 at 7:03am. On the same day 3/10/25 at 2:40 pm CNA1 punched in to work pm shift, then punched out at midnight, and continue to work the night shift, then punched out on 3/11/25 at 7:02 am. On the same day 3/11/25 at 3:01pm CNA1 punched in to work evening shift, then punched out at 11:02 pm ( a total of seven shifts in 4 days).

During a review of the Nursing Staffing Assignment and Sign-in Sheet on 3/14/25 at 10:40 am with the DSD, indicated 3/8/25, 3/9/25, and 3/10/25 night shift one CNA called off.

The DSD confirmed there was one CNA staffing shortage for the night shift. and CNA1 worked to cover the shortage.

During an interview on 3/12/25 at 12:10 pm with LVN 1, LVN1 stated she filed a grievance on 1/5/25 she saw CNA1 was sleeping during work hours on many occasions and did not provide necessary care to her assigned residents that were found with soiled briefs and were not repositioned in bed, improperly responding to a resident ' s fall, and taking extended breaks than set schedule, and she was away from assigned unit during work. LVN 1 stated she did not remember how many times she told the supervisors about issues with CNA1. LVN 1 stated CNA1 hasn ' t improved in any way, which is really dangerous to the residents.

055181

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055181 B.

Wing 03/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

San Gabriel Conv Center 8035 E Hill Drive Rosemead, CA 91770

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 ROSEMEAD, 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 SAN GABRIEL CONV CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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