Greenfield Care Center Of South Gate
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
CNA 1 should have left Resident 1 in bed or asked someone to bring the Hoyer lift to the room. 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.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/12/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Greenfield Care Center of South Gate
8455 State Street South Gate, CA 90280
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0726
F 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
RN 1 stated the licensed nurse should check Resident 3's O2 sat on room air as ordered. RN 1 stated it was not acceptable to obtain an O2 sat when on oxygen because it was not a correct assessment. RN 1 stated the licensed nurses should assess the resident before administering the oxygen. RN 1 stated giving oxygen could unnecessarily cause more harm than good for the residents because of overcompensation (when the body tried to fix an imbalance, but the correction seemed too strong) in blood gas exchange. RN 1 stated that competent staff were essential to provide services that met residents' needs. RN 1 stated this highlighted a need for additional training to improve staff competency levels because any mistakes could compromise the health of the residents.During an interview on 9/12/2025 at 11:36 a.m. The DON stated for
an accurate reading, the licensed nurse should have residents breathe room air for 30 minutes before checking the O2 sat. 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.
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GREENFIELD CARE CENTER OF SOUTH GATE in SOUTH GATE, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.