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Complaint Investigation

Greenfield Care Center Of South Gate

September 12, 2025 · South Gate, CA · 8455 State Street
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 056458
Healthcare Facility
Greenfield Care Center Of South Gate
South Gate, CA  ·  View full profile →
Inspection Summary

GREENFIELD CARE CENTER OF SOUTH GATE in SOUTH GATE, CA — inspection on September 12, 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During a review of the facility's Policy and Procedure (P&P) titled Abuse Policy, dated 10/2024, the P&P indicated residents would be protected from abuse and harm while residing at the facility.

The P&P indicated no abuse or harm of any type would be tolerated, and residents would be monitored for protection.

The P&P indicated all staff should monitor residents and identify potential signs and symptoms of abuse.

The P&P indicated residents would be protected from the alleged offenders.

The P&P further indicated that staff witnessing abuse would immediately intervene to protect the resident.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Greenfield Care Center of South Gate

8455 State Street South Gate, CA 90280

SUMMARY STATEMENT OF DEFICIENCIES

During a review of the facility's Charge Nurse Job Description, undated, the Job Description indicated, the charge nurse's responsibilities included following standards of nursing practices and implementing the facility's policies and procedures.

The Job Description indicated the charge nurse should administer and document direct resident care, medications, and treatments per physicians' orders, and accurately record all care provided.

The Job Description further indicated the charge nurse should implement an accurate comprehensive care plan based on resident's needs and assessment, and competently perform basic nursing skills.

During a review of the facility's P&P titled Oxygen Therapy, dated 1/2024, the P&P indicated it was the policy of the facility that oxygen was administered as ordered by the physician.

Facility ID:

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 SOUTH GATE, 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 GREENFIELD CARE CENTER OF SOUTH GATE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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