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Complaint Investigation

Santa Anita Convalescent Hospital

August 15, 2025 · Temple City, CA · 5522 Gracewood Ave.
Citations 2
CMS Rating 1/5
Beds 391
Provider ID 055293
Healthcare Facility
Santa Anita Convalescent Hospital
Temple City, CA  ·  View full profile →
Inspection Summary

SANTA ANITA CONVALESCENT HOSPITAL in TEMPLE CITY, CA — inspection on August 15, 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

FF0804
Nutrition and Dietary Deficiencies
Potential for More Than Minimal Harm

During a concurrent interview and record review on 8/15/2025 at 3 PM, the P&P titled Food Temperatures, revised 1/31/2019, was reviewed.

Administrator (ADM) stated the serving temperatures mean when the food gets to the residents. ADM also stated the pasta and carrots served to Resident 2 for lunch today did not meet the serving temperatures.

During a review of the P&P titled Food Temperatures, revised 1/31/2025, the P&P indicated if temperatures do not meet the required serving temperatures listed above, reheat the product or chill the product to the proper temperature.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Santa Anita Convalescent Hospital

5522 Gracewood Ave.

Temple City, CA 91780

SUMMARY STATEMENT OF DEFICIENCIES

During a concurrent observation on 8/15/2025 at 12 PM in the kitchen with Dietary Supervisor (DS) present, the tray line was observed.

Dietary Supervisor Assistant (DSA) was observed dropping a bowl of food from the refrigerator, then picking it up and continuing the tray line with the same contaminated gloves.

During an interview on 8/15/2025 at 12:10 PM in the kitchen, DS stated DSA should have changed gloves and perform hand hygiene after picking up the bowl from the floor and before touching anything in the kitchen/ continuing the tray line. DS also stated not changing gloves and performing hand hygiene is not okay because it can spread infection. 5.

During an observation on 8/15/2025 at 1:18 PM in the kitchen, tray line was observed when Dietary Staff (DTS) dropped a bag of bowl lids. DTS was observed picking up the bag of bowl lids, put it on the tray line near the ready-to-eat foods and touched the tray line with the same contaminated gloves.

During an interview on 8/15/2025 at 1:20 PM in the kitchen during tray line, Registered Dietician (RD) stated DTS should have changed DTS' gloves and performed hand hygiene before continuing to work on the tray line because that can spread infection to the residents. DTS also stated, the bag of bowl lids that was picked up from the floor by the DTS should not be placed on the tray line and/ or near the ready-to- eat food items to avoid contamination of food served to the residents. A review of the facility's Policy and Procedure (P&P) titled Food Storage, revised 6/1/2017, the P&P indicated wash hands before handling food and keep work surfaces clean and orderly. A review of the facility's P&P titled General Dietary Department, revised 10/24/2022, the P&P indicated staff should wear intact disposable gloves in good condition that are changed appropriately to reduce the spread of infection. A review of the facility's P&P titled Hand Hygiene, revised 2/20/2025, the P&P indicated washing hands with soap and water before and after food preparation and before direct contact with food.

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 TEMPLE CITY, 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 SANTA ANITA CONVALESCENT HOSPITAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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