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 →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

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.

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:

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

FF0726

Nursing and Physician Services Deficiencies

Potential for More Than Minimal Harm

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.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.