Greenfield Care Center Of South Gate
GREENFIELD CARE CENTER OF SOUTH GATE in SOUTH GATE, CA — inspection on February 3, 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.
Inspection Findings
F-F609.
056458
During a review of Resident 1 ' s Minimum Data Set ([MDS], a resident assessment tool), dated 1/17/2025, the MDS indicated Resident 1 ' s cognitive skills (ability to think and reason) for daily decision making was severely impaired.
The MDS indicated Resident 1 required supervision or touching assistance (helper provides verbal cues and, or touching as resident completes activity) for toileting, oral hygiene, and dressing, and required clean-up assistance when performing personal hygiene.
During a review of Resident 1 ' s Nursing Progress Notes, dated 1/19/2025, the progress note indicated Resident 1 ' s son made the facility aware that his mother told him a nurse was too rough on her (Resident 1) last night.
The progress notes indicated Resident 1 stated a male CNA (CNA 1) was rough with her, hurt Resident 1 ' s arm, and cleaned Resident 1 with hot water last night.
During a review of the facility ' s Five-Day Investigation Report, dated 1/22/2025, the report indicated CNA 1 asked CNA 2 to translate (in Spanish) for Resident 1 when Resident 1 became agitated.
The report indicated Resident 1 told CNA 2 that CNA 1 was rough (during care).
During an interview, on 2/3/2025, at 11:51 a.m., with CNA 2, CNA 2 stated, during the 11 p.m.- 7 a.m. shift, on 1/19/2025, she helped translate for CNA 1 and Resident 1. CNA 2 stated Resident 1 told her CNA 1 was too rough and Resident 1 wanted a pain pill because her left arm was hurting after CNA 1 repositioned her. CNA 2 stated that she only told LVN 1 Resident 1 wanted her pain pill, but did not report Resident 1 ' s complaint about CNA 1. CNA 2 stated she should have told LVN 1 or notified the proper agencies (CPDH, law enforcement, and the ombudsman) about Resident 1 ' s concern because it was considered an abuse allegation. CNA 2 stated this delayed the facilities ' ability to investigate timely and prevent Resident 1 from possible further abuse.
056458
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 056458 B.
Wing 02/03/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Greenfield Care Center of South Gate 8455 State Street South Gate, CA 90280