Greenfield Care Center of South Gate
8455 State Street · South Gate, CA · 90280 · 3235647761
99 certified beds For profit - Limited Liability company Chain: Eva Care Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.89 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $57,906 |
Inspection citations (97 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 10, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D March 10, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 10, 2026 · Infection Control
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Potential for harm · D February 19, 2026 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected March 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 9, 2025 · Resident Rights
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Potential for harm · E November 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E September 12, 2025 · found via 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.
Corrected September 13, 2025 · Nursing and Physician Services
-
Potential for harm · D July 18, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 11, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 11, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 11, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 11, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 11, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Ensure each resident receives an accurate assessment.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
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.
Corrected August 11, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 11, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 31, 2024 | Fine | $57,906 |
| May 31, 2024 | Payment Denial | 32 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056458 · certified since February 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.