Santa Anita Convalescent Hospital
Inspection Findings
F-Tag F0641
F 0641 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
of Resident 1's Quarterly MDS dated [DATE REDACTED], the MDS indicated Resident 1 has no fall since admission, entry or reentry or prior assessment. During an interview on 10/30/2025 at 10:59 AM with MDSN 1, MDSN 1 stated he was aware of Resident 1's fall episode on 10/7/2025 but he forgot to include Resident 1 episode of fall the Resident 1's MDS assessment and documentation dated 10/23/2025. MDSN 1 stated he should have included Resident 1 fall episode on 10/7/2025 to reflect Resident 1 updated health condition to identify health problems and Individualized plan of care. During an interview on 10/30/2025 at 11:13 AM with MDS supervisor, the MDS supervisor stated it is very important to document the correct information into the resident's MDS to make sure there is accurate patient care planning, determining reimbursement rates, ensuring regulatory compliance, and measuring quality of care. During a review of the facility's Policy and Procedure (P&P) titled Resident Assessment Instrument (RAI - a guide for nursing homes to create individualized care plans for residents) Process , revised date 10/1/2019, indicated the purpose if the P&P is to ensure that the RAI is used, in accordance with specified format and timeframes, in conducting comprehensive assessments as part of an ongoing process through which the facility identifies each resident's preferences and goals of care, functional and health status, strengths and needs, as well as offering guidance for further assessment once problems have been identified.
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SANTA ANITA CONVALESCENT HOSPITAL in TEMPLE CITY, 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 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.