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Complaint Investigation

Live Oak Rehab Center

Inspection Date: October 10, 2025
Total Violations 1
Facility ID 056127
Location SAN GABRIEL, CA
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Immediate Jeopardy

F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

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

surveillance dated 10/7/2025, timed between 12:15 PM and 12:20 PM was reviewed. The DON stated according to the video surveillance, Resident 2 was observed caressing Resident 1's breast two times. The DON stated this incident is not acceptable, because there is dignity issue and invasion of privacy. The DON stated this incident is an abuse and can cause decline with Resident 1's wellbeing and can affect Resident 1's mood. During a review of the facility's Policy and Procedure (P&P) titled Resident Rights, revised in February 2021, the P&P indicated Federal and State laws guarantee certain basic rights to all residents of

the facility and these rights include the resident's right to be treated with respect, kindness and dignity. The P&P also indicated, resident has the right to be free from abuse. During a review of the facility's P&P titled Abuse, Neglect, Exploitation (taking advantage of a resident for personal gain) and Misappropriation Prevention Program, revised in April 2021, the P&P indicated Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. The P&P also indicated, this includes but is not limited to freedom from corporal punishment (which is physical punishment, is used as a means to correct or control behavior, includes, but is not limited to, pinching, spanking, slapping of hands, flicking, or hitting with an object), involuntary seclusion (separation of a resident from other residents or from her/his room or confinement to her/his room against the resident's will, or the will of the resident representative), verbal, mental, and sexual or physical abuse.

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📋 Inspection Summary

LIVE OAK REHAB CENTER in SAN GABRIEL, 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 SAN GABRIEL, 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 LIVE OAK REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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