Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056458

Greenfield Care Center Of South Gate

96 federal citations on record , and 2 federal enforcement actions totaling $57,906.

Record summary

Federal record · Q1 2026
96
Total citations
75
Last 3 years
3
Actual harm+
2
Federal penalties
$57,906
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care26 Care Planning17 Resident Rights15 Abuse & Neglect10 Medication & Pharmacy7

Most common F-tags at this facility

F6567 F8806 F6094 F7264 F6844

Citation history

96 on record
SurveyF-TagViolationSeveritySource
Dec 4, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Nov 12, 2025F610Respond appropriately to all alleged violations.DComplaint
Nov 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Sep 12, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Sep 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 18, 2025F880Provide and implement an infection prevention and control program.FStandard
Jul 18, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jul 18, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jul 18, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jul 18, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Jul 18, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 18, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 18, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jul 18, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jul 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jul 18, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 18, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jul 18, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jul 18, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jul 18, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 18, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jul 18, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jul 18, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 9, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jul 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 9, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 9, 2025F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Jun 12, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 12, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 14, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Apr 8, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Feb 3, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 27, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 13, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 22, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Oct 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 24, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jul 24, 2024F675Honor each resident's preferences, choices, values and beliefs.DComplaint
May 31, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
May 31, 2024F880Provide and implement an infection prevention and control program.EStandard
May 31, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard
May 31, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 31, 2024F825Provide or get specialized rehabilitative services as required for a resident.GStandard
May 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 31, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
May 31, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
May 31, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
May 31, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
May 31, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
May 31, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
May 31, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard
May 31, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard
May 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
May 31, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
May 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 31, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 31, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 31, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 31, 2024F642Ensure a qualified health professional conducts resident assessments.EStandard
May 31, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
May 31, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 31, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 31, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Dec 7, 2023F880Provide and implement an infection prevention and control program.EComplaint
Dec 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 21, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 21, 2023F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.DComplaint
Aug 3, 2023F880Provide and implement an infection prevention and control program.DComplaint
Mar 31, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 28, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Mar 28, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Mar 17, 2022F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
Mar 17, 2022F880Provide and implement an infection prevention and control program.DStandard
Mar 17, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 17, 2022F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Mar 17, 2022F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Mar 17, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 17, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 17, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Mar 17, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 17, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 17, 2022F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard
Mar 17, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Mar 17, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 17, 2022F641Ensure each resident receives an accurate assessment.EStandard
Mar 17, 2022F637Assess the resident when there is a significant change in conditionDStandard
Mar 17, 2022F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Mar 17, 2022F583Keep residents' personal and medical records private and confidential.DStandard
Mar 17, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $57,906 and 1 payment-denial actions spanning 32 days.

DateTypeFinePayment denial
May 31, 2024Fine$57,906—
May 31, 2024Payment Denial—Jun 29, 2024 · 32 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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