Starfile / California

GREENFIELD CARE CENTER OF SOUTH GATE

8455 STATE STREET, SOUTH GATE, CA 90280 · CCN 056458

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$57,906

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

EVA CARE GROUP

Facilities in chain

9

Chain avg overall

3.30 / 5

Inspection citations (96)3 actual harm

1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-12-04 · Health · corrected 2025-12-09

   Potential for more than minimal harm

2. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-12 · Health · corrected 2025-12-12

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-12 · Health · corrected 2025-12-12

   Potential for more than minimal harm

4. DF0610Respond appropriately to all alleged violations.2025-11-12 · Health · corrected 2025-12-12

   Potential for more than minimal harm

5. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-12 · Health · corrected 2025-09-13

   Potential for more than minimal harm

6. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-09-12 · Health · corrected 2025-09-13

   Potential for more than minimal harm

7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-18 · Health · corrected 2025-08-11

   Potential for more than minimal harm

8. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-07-18 · Health · corrected 2025-08-11

   Potential for more than minimal harm

9. DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-18 · Health · corrected 2025-08-11

   Potential for more than minimal harm

10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

11. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

13. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

14. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

15. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

16. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

17. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

18. DF0692Provide enough food/fluids to maintain a resident's health.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

20. DF0700Try 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.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

21. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

22. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

23. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

24. FF0880Provide and implement an infection prevention and control program.2025-07-18 · Health · corrected 2025-08-11

    Potential for more than minimal harm

25. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-07-09 · Health · corrected 2025-07-29

    Potential for more than minimal harm

26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-09 · Health · corrected 2025-07-29

    Potential for more than minimal harm

27. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-09 · Health · corrected 2025-07-29

    Potential for more than minimal harm

28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-09 · Health · corrected 2025-07-29

    Potential for more than minimal harm

29. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-07-09 · Health · corrected 2025-07-29

    Potential for more than minimal harm

30. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-12 · Health · corrected 2025-07-08

    Potential for more than minimal harm

31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-12 · Health · corrected 2025-07-08

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-03 · Health · corrected 2025-06-27

    Potential for more than minimal harm

33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-03 · Health · corrected 2025-06-27

    Potential for more than minimal harm

34. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-04-14 · Health · corrected 2025-04-29

    Potential for more than minimal harm

35. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-14 · Health · corrected 2025-04-29

    Potential for more than minimal harm

36. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-08 · Health · corrected 2025-05-09

    Potential for more than minimal harm

37. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

38. DF0610Respond appropriately to all alleged violations.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-27 · Health · corrected 2025-01-09

    Potential for more than minimal harm

40. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-13 · Health · corrected 2024-12-07

    Potential for more than minimal harm

41. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-22 · Health · corrected 2024-11-07

    Potential for more than minimal harm

42. DF0760Ensure that residents are free from significant medication errors.2024-10-22 · Health · corrected 2024-11-07

    Potential for more than minimal harm

43. DF0675Honor each resident's preferences, choices, values and beliefs.2024-07-24 · Health · corrected 2024-07-31

    Potential for more than minimal harm

44. EF0880Provide and implement an infection prevention and control program.2024-07-24 · Health · corrected 2024-07-31

    Potential for more than minimal harm

45. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

46. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

47. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

48. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

49. EF0642Ensure a qualified health professional conducts resident assessments.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

50. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

51. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

52. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

53. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

54. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

55. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

56. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

57. GF0688Provide 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.2024-05-31 · Health · corrected 2024-06-30

    Actual harm

58. EF0693Ensure 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.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

59. EF0700Try 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.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

60. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

61. DF0758Implement 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.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

62. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

63. EF0803Ensure 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.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

64. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

65. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

66. GF0825Provide or get specialized rehabilitative services as required for a resident.2024-05-31 · Health · corrected 2024-06-30

    Actual harm

67. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

68. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

69. EF0880Provide and implement an infection prevention and control program.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

70. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-05-31 · Health · corrected 2024-06-30

    Potential for more than minimal harm

71. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-07 · Health · corrected 2023-12-21

    Potential for more than minimal harm

72. EF0880Provide and implement an infection prevention and control program.2023-12-07 · Health · corrected 2023-12-21

    Potential for more than minimal harm

73. DF0620Not 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.2023-11-21 · Health · corrected 2023-12-11

    Potential for more than minimal harm

74. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-21 · Health · corrected 2023-12-11

    Potential for more than minimal harm

75. DF0880Provide and implement an infection prevention and control program.2023-08-03 · Health · corrected 2023-09-02

    Potential for more than minimal harm

76. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-31 · Health · corrected 2023-04-28

    Actual harm

77. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-03-28 · Health · corrected 2023-04-21

    Potential for more than minimal harm

78. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-28 · Health · corrected 2023-04-21

    Potential for more than minimal harm

79. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

80. DF0583Keep residents' personal and medical records private and confidential.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

81. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

82. DF0637Assess the resident when there is a significant change in condition2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

83. EF0641Ensure each resident receives an accurate assessment.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

84. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

85. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

86. EF0688Provide 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.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

87. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

88. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

89. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

90. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

91. DF0759Ensure medication error rates are not 5 percent or greater.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

92. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

93. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

94. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

95. DF0880Provide and implement an infection prevention and control program.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

96. EF0909Regularly 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.2022-03-17 · Health · corrected 2022-04-13

    Potential for more than minimal harm

Ownership

Other facilities in SOUTH GATE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.