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Complaint Investigation

Clara Baldwin Stocker Home For Women

April 28, 2026 · West Covina, CA · 527 S Valinda Avenue
Citations 2
CMS Rating 3/5
Beds 48
Provider ID 555832
Healthcare Facility
Clara Baldwin Stocker Home For Women
West Covina, 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

CLARA BALDWIN STOCKER HOME FOR WOMEN in WEST COVINA, CA — inspection on April 28, 2026.

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

FF0684
Quality of Life and Care Deficiencies

residents (Resident 2) as indicated in the facility's Policy and Procedure (P&P) titled, Weight Change

weight loss.Findings:During a review of Resident 2's admission Record (AR), the AR indicated the facility admitted Resident 2 on 10/8/2024 and readmitted Resident 8 on 3/31/2026 with diagnoses that included encephalopathy (brain disease that alters brain function or structure), chronic obstructive pulmonary disease (COPD, a group of diseases that cause airflow blockage and breathing-related problems), and dysphagia (difficulty swallowing foods or liquids).During a review of Resident 2's Minimum Data Set (MDS, a resident assessment tool), dated 4/3/2026, the MDS indicated Resident 2 was moderately impaired in cognitive skills (ability to make daily decisions).

The MDS indicated Resident 2 was dependent (helper does all the effort) on staff for bathing, dressing, and toileting hygiene.During a review of Resident 2's Order Summary Report (OSR), dated 4/28/2026, the OSR indicated a physician order dated 3/31/2026 to weigh Resident 2 weekly for 4 weeks.During a review of Resident 2's Weights and Vitals Summary (WVS), dated 4/28/2026, the WVS indicated Resident 2 had not been weighed since 4/3/2026During a concurrent interview and record review on 4/28/2026, at 10 AM with the Director of Nursing (DON), the facility's Weekly Weight Binder was reviewed.

The binder contained the names of all residents (in general) who needed to be weighed weekly. Resident 2 was not listed in the binder.

The DON stated Resident 2 needed to be weighed weekly for 4 weeks because Resident 2 was recently readmitted to the facility.

The DON confirmed the facility had not weighed Resident weekly since readmitted on [DATE].During a review of the facility's Policy and Procedure (P&P) titled, Weight Change Protocol, undated, the P&P indicated, Residents will be weighed on a monthly basis and weekly for those newly admitted .

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

555832 04/28/2026

Clara Baldwin Stocker Home for Women 527 S Valinda Avenue West Covina, CA 91790

During an interview on 4/24/2026 at 1:04 PM with the MS, the MS stated an AC technician came to the facility the last time the AC was not working.

The MS stated the AC technician informed the MS the problem with the AC unit was that the water valves on the roof of the facility needed to be exercised (open and closed).

The MS stated the only preventative maintenance the maintenance department did for the AC units was a daily visual inspection.

The MS stated the facility did not maintain a log or documentation for the daily visual checks.

During a telephone interview on 4/24/2026 at 3:02 PM with the AC Technician (AT), the AT stated the AT was called to the facility a couple weeks ago when the facility was having issues with the AC units.

The AT stated the facility's AC units needed preventative maintenance monthly to include changing filters, testing water valves, and testing pneumatic controls.

During a review of the facility's Policy and Procedure (P&P) titled, Maintenance Service, revised December 2009, the P&P indicated, Maintenance service shall be provided to all areas of the building, grounds, and equipment.

The P&P indicated, The Maintenance Department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times.

The P&P indicated, Functions of maintenance personnel include, but are not limited to.

Maintaining the heat/cooling system, plumbing fixtures, wiring, etc., in good working order.

Providing routinely scheduled maintenance service to all areas.

The P&P indicated, The Maintenance Director is responsible for developing and maintaining a schedule of maintenance service to assure that the buildings, grounds, and equipment are maintained in a safe and operable manner.

The P&P indicated, The Maintenance Director is responsible for maintaining the following records/ reports.

Maintenance schedules.

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 WEST COVINA, 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 CLARA BALDWIN STOCKER HOME FOR WOMEN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.