nursing home in South Gate, CA

Greenfield Care Center of South Gate

8455 State Street, South Gate, CA 90280 · (323) 564-7761

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Greenfield Care Center of South Gate at a glance

Greenfield Care Center of South Gate is a 99-bed for-profit nursing home in South Gate, California (Los Angeles County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the California average of 3.2.

Residents receive about 4.1 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (July 18, 2025) found 28 health citations. The California average is 15.5.

Federal regulators fined it 1 time in the past three years, totaling $57,906.

Nursing staff turnover is 42.9% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
99
Certified for
Medicare and Medicaid
Chain / affiliated entity
Eva Care Group
Medicare-certified since
February 1, 1978
Resident/family council
Resident
County
Los Angeles County
CMS Certification Number
056458

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.3 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)3 / 54.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54.4 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)4 / 53.6 / 53.3 / 5Better

Staffing

This facility4.07 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.07 hrs4.52 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.67 hrs0.67 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.58 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.78 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)42.9%36.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)31.3%38.1%42.9%Better
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility28California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)28169Worse
Citations from complaint investigations (latest cycle) (lower is better)1143Worse
Weighted health inspection score ⓘ (lower is better)181105.880.6Worse

Penalties

This facility1California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$57,906$23,986$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds9999107
Average residents per day768886
Occupancy76.8%88.4%80.9%

Long-stay residents

This facility1.8%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.8%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)5.3%4.3%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)4.9%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)6.9%1.2%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.5%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)17.7%10.2%13.9%Worse
Long-stay residents whose walking worsened (lower is better)22.9%9.8%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.4%4%5.2%Average
Long-stay residents with depressive symptoms (lower is better)0%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)4.4%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)2.6%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)100%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)100%94.4%82%Better

Inspection citations

State inspectors cited this home for 96 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.

DateCitationSeverityStatus
March 19, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected April 2, 2026
March 10, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected April 10, 2026
March 10, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 10, 2026
February 19, 2026
Complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
D
Potential harm, isolated
Corrected March 5, 2026
December 4, 2025
Complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected December 9, 2025
November 12, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
E
Potential harm, pattern
Corrected December 12, 2025
November 12, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected December 12, 2025
November 12, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected December 12, 2025
September 12, 2025
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
E
Potential harm, pattern
Corrected September 13, 2025
September 12, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected September 13, 2025
July 18, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected August 16, 2025
July 18, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected August 16, 2025
July 18, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected August 16, 2025
July 18, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
E
Potential harm, pattern
Corrected August 16, 2025
July 18, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected August 16, 2025
July 18, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected August 16, 2025
July 18, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected August 16, 2025
July 18, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected August 16, 2025
July 18, 2025
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
D
Potential harm, isolated
Corrected August 16, 2025
July 18, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected August 16, 2025
July 18, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
C
No harm, widespread
Corrected August 16, 2025
July 18, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected August 11, 2025
July 18, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected August 11, 2025
July 18, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 11, 2025
July 18, 2025
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Try 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.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected August 11, 2025
July 18, 2025
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected August 11, 2025
July 9, 2025
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected July 29, 2025
July 9, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 29, 2025
July 9, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 29, 2025
July 9, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 29, 2025
July 9, 2025
Complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · Tag F0573
D
Potential harm, isolated
Corrected July 29, 2025
June 12, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 8, 2025
June 12, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected July 8, 2025
June 3, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 27, 2025
June 3, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 27, 2025
April 14, 2025
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected April 29, 2025
April 14, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected April 29, 2025
April 8, 2025
Complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected May 9, 2025
February 3, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected February 21, 2025
February 3, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected February 21, 2025
December 27, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 9, 2025
November 13, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected December 7, 2024
October 22, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected November 7, 2024
October 22, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected November 7, 2024
July 24, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 31, 2024
July 24, 2024
Complaint
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Tag F0675
D
Potential harm, isolated
Corrected July 31, 2024
May 31, 2024
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected June 18, 2024
May 31, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected June 18, 2024
May 31, 2024
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
D
Potential harm, isolated
Corrected June 18, 2024
May 31, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected June 18, 2024
May 31, 2024
Fire safety
Construct fire resistant interior walls.
Smoke Deficiencies · Tag K0331
D
Potential harm, isolated
Corrected June 18, 2024
May 31, 2024
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
D
Potential harm, isolated
Corrected June 18, 2024
May 31, 2024
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
C
No harm, widespread
Corrected June 18, 2024
May 31, 2024
Standard
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Tag F0825
G
Actual harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Provide 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.
Quality of Life and Care Deficiencies · Tag F0688
G
Actual harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Try 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.
Quality of Life and Care Deficiencies · Tag F0700
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning Deficiencies · Tag F0642
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Ensure 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.
Quality of Life and Care Deficiencies · Tag F0693
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Ensure 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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
E
Potential harm, pattern
Corrected June 30, 2024
May 31, 2024
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Implement 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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected June 30, 2024
May 31, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 30, 2024
December 7, 2023
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected December 21, 2023
December 7, 2023
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected December 21, 2023
November 21, 2023
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected December 11, 2023
November 21, 2023
Complaint
Not 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.
Resident Rights Deficiencies · Tag F0620
D
Potential harm, isolated
Corrected December 11, 2023
March 17, 2022
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 12, 2022
March 17, 2022
Fire safety
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies · Tag E0031
E
Potential harm, pattern
Corrected April 12, 2022
March 17, 2022
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected April 12, 2022
March 17, 2022
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected April 12, 2022
March 17, 2022
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected April 12, 2022
March 17, 2022
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 13, 2022
March 17, 2022
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Provide 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.
Quality of Life and Care Deficiencies · Tag F0688
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Regularly 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.
Environmental Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
E
Potential harm, pattern
Corrected April 13, 2022
March 17, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected April 13, 2022
March 17, 2022
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected April 13, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $57,906 in fines.

DatePenaltyAmount / length
May 31, 2024Payment Denial32 days from June 29, 2024
May 31, 2024Fine$57,906

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CHEN, JENQ
Individual
5% or greater direct ownership interest50%10/10/2002
CHEN, TZE-YUN
Individual
5% or greater direct ownership interest50%10/10/2002
PADAMA, ANTHONY
Individual
adp of the snfNOT APPLICABLE06/06/2025
TSENG, TONY
Individual
adp of the snfNOT APPLICABLE06/06/2025
CHEN, JENQ
Individual
corporate directorNOT APPLICABLE03/31/2003
CHEN, TZE-YUN
Individual
corporate directorNOT APPLICABLE03/31/2003
PADAMA, JOHN
Individual
managing control - governing bodyNOT APPLICABLE08/02/2017
PADAMA, ANTHONY
Individual
operational/managerial controlNOT APPLICABLE03/11/2024
TSENG, TONY
Individual
operational/managerial controlNOT APPLICABLE10/01/2021

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Frequently asked questions

What is Greenfield Care Center of South Gate's rating?

Greenfield Care Center of South Gate has 1 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Greenfield Care Center of South Gate receive?

Its most recent standard health inspection found 28 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Greenfield Care Center of South Gate accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Greenfield Care Center of South Gate?

It is for profit - limited liability company and part of Eva Care Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Greenfield Care Center of South Gate and how do I contact it?

Greenfield Care Center of South Gate is at 8455 State Street, South Gate, CA 90280. Phone: (323) 564-7761.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.