Greenfield Care Center of South Gate

    8455 State St, South Gate, CA, 90280
    3.5 · 44 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Clean facility, serious safety concerns

    I have mixed feelings. The building is clean, the rehab and many nurses/therapists were warm, professional and attentive - I felt cared for by several staff and the Nursing Director was excellent. But I also experienced serious problems: delayed night responses and pain meds, refusal/delay to call ambulances, stolen/ misplaced items, restricted family contact, improper billing/private-pay pressure, withheld documents and ongoing discharge disputes that led me to file complaints with APS, CDPH, the ombudsman and police. Because of those safety, staffing and billing issues, I can't fully recommend this place without strong caution.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.45 · 44 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.7
    • Staff

      3.2
    • Meals

      2.3
    • Amenities

      5.0
    • Value

      1.0

    Pros

    • Caring, attentive nurses praised by multiple reviewers
    • Knowledgeable nursing staff and skilled caregivers
    • Supportive, effective therapy and rehabilitation staff
    • Positive rehabilitation outcomes and helpful therapists
    • Clean, modern and well-maintained facility reported by many
    • Appealing/excellent meals noted in several reviews
    • Warm welcome and professional Nursing Director
    • Dedicated, friendly staff described as like family
    • Transparent pricing and positive administrative interactions in some cases
    • High CMS rating (5-star) mentioned by at least one reviewer
    • Specific staff named positively (e.g., Gladys and Nover)

    Cons

    • Unlawful billing pressure and repeated push for private pay
    • Medicare denial disputes and billing conflicts
    • Undisclosed or unclear cost estimates and pricing issues
    • Failure to initiate or follow through on discharge planning
    • Social worker deflection, mishandling of patient care, and runaround
    • Withholding of documents and poor record access
    • Theft of personal items (clothes, phone, radio) reported
    • Neglectful emergency response and refusal/delay to call ambulance
    • Delayed nursing responses, especially on night shift
    • Delayed or withheld pain medication
    • Reports of negligent care and at least one alleged death
    • Inappropriate or unsafe medication prescriptions
    • Meals sometimes not following dietary restrictions
    • Rude, disrespectful, or unprofessional staff and administrators
    • Safety concerns including visitor exploitation of patients
    • Complaints filed with Adult Protective Services, CDPH, ombudsman, and police involvement
    • Calls by some reviewers to shut down the facility or high regulatory concern
    • Inconsistent quality of care across shifts and staff members
    • Unsanitary conditions reported by some reviewers
    • Restrictions or interference with family communication
    • Poor activity supervision and staff ignoring residents
    • Misplaced items and failure to return residents' clothing

    Summary review

    Overall impression: Reviews of Greenfield Care Center of South Gate are highly polarized. Many reviewers praise individual caregivers, therapists, and certain administrative staff, reporting positive rehabilitation results, clean facilities, and good food. At the same time, a significant portion of reviews raise serious safety, care-quality, and administrative concerns — including alleged unlawful billing practices, emergency neglect, theft, and regulatory complaints. The result is an uneven portrait: some residents and families report excellent, even exemplary care, while others recount dangerous lapses and systemic problems.

    Care quality and clinical concerns: A recurrent theme is variability in clinical care. Numerous reviews commend nurses and rehabilitation therapists for being caring, knowledgeable, and effective — several specifically name staff (for example, Gladys and Nover) and describe good therapy outcomes and attentive nursing. Conversely, other reviewers describe delayed or absent nursing responses (particularly nights), delayed or withheld pain medication, inappropriate or unsafe medication prescriptions, and failure to assist residents after falls. A few reviewers go as far as reporting severe neglect and at least one death they attribute to poor care. These accounts describe emergencies where staff allegedly refused to call ambulances or delayed emergency transfers, which are among the most serious and repeated clinical complaints.

    Staff behavior and interactions: Staff behavior is another split area. Many reviewers describe staff as warm, friendly, and like family; some explicitly recommend the facility and praise individual staff and the Nursing Director. However, many other reviews portray staff and administration as rude, unprofessional, or dismissive — examples include staff hanging up on callers, refusing assistance, staring at visitors, and withholding a resident’s cellphone. Several reports accuse staff (or fellow visitors) of exploiting residents and failing to act on suspected abuse. Social work/administrative personnel are particularly singled out for mishandling cases, deflecting responsibility, and creating a runaround for families.

    Administration, billing, and discharge practices: Administrative and billing practices are frequent sources of complaint. Multiple reviewers report pressure to sign for private pay despite Medicare issues, disputes over Medicare denials, undisclosed estimates, and what reviewers describe as unlawful billing pressure. There are also repeated complaints about failures to initiate or coordinate discharge planning and ongoing unresolved discharge issues. Some reviewers claim that documents were withheld and communications were poor, leading families to file formal complaints with oversight agencies.

    Safety, theft, and regulatory involvement: Several reviews allege theft of personal items (clothes, phones, radios) and misplacement of belongings. Safety concerns extend to accusations of neglectful emergency response and poor supervision of residents; these concerns prompted some families to contact Adult Protective Services, the California Department of Public Health, local ombudsmen, and even the police. A number of reviewers explicitly call for the facility to be shut down or request better regulatory scrutiny. These reports suggest that, for some residents, safety and protection are inadequate.

    Facilities, dining, and activities: Many reviewers praise the facility environment, noting it is clean, modern, and spotless in their experience. Several report good or excellent food and decent activity programming. However, other reviews say meals did not respect dietary restrictions, activities staff were rude or ignored residents, and some found conditions unsanitary. This again underscores inconsistent experiences depending on timing, staff on duty, or individual units.

    Patterns and likely causes: The reviews point to pronounced inconsistency in care and operations. Positive and negative experiences often coexist within the same facility — suggesting variability by shift (night vs day), by specific staff members, or by unit. Recurring issues center on administrative/billing conduct, discharge planning failures, night-shift responsiveness, emergency protocols, and property security. Where reviewers report good care, they emphasize competent nurses, effective therapists, responsiveness, and cleanliness; where they report harm, complaints involve unresponsiveness in emergencies, billing coercion, theft, and poor communication from social work/administration.

    Advice for families and next steps: Given the broad split in experiences, prospective residents and families should perform targeted due diligence: visit multiple times including nights/weekends, ask for written cost estimates and billing policies, verify Medicare/insurance handling, request written emergency and discharge protocols, inventory personal items upon admission, and ask how the facility handles dietary needs and medication safety. Document interactions with social workers and administration, and ask how complaints are logged and escalated. If families encounter threats to safety or withholding of documents, they should consider contacting the local ombudsman, Adult Protective Services, or the state health department promptly.

    Bottom line: Greenfield Care Center of South Gate receives both high praise for individual caregivers, therapy outcomes, cleanliness, and food, and serious criticism for administrative practices, emergency response, theft, and inconsistent staff behavior. The facility appears capable of providing excellent care under some circumstances, but a meaningful subset of reviewers report dangerous and unacceptable failings — particularly around billing, discharge planning, emergency handling, and security of personal belongings. Prospective families should weigh both the positive testimonials and the severe negative allegations, and perform thorough, time-of-day–varied inspections and verification before deciding.

    Location

    Map showing location of Greenfield Care Center of South Gate

    About Greenfield Care Center of South Gate

    Greenfield Care Center of South Gate sits in South Gate, California, close to some scenic parks and not too far from Los Angeles International Airport, and you'll find the building holds 99 certified beds and usually has about 78 residents living there each day, which makes it a medium-sized place by local standards. The center takes care of people who need different types of help, so they've got skilled nursing care around the clock, memory care for folks who tend to get confused or wander, and hospice care for those who need comfort at the end of life, and for people recovering from illness or surgery, short-term rehabilitation is available, including help with movement or strength-physical, occupational, language, and speech therapies-because they've got therapists on-site. Greenfield Care Center takes Medicare and Medicaid, and the staff cares for people with wounds, those who need pain management, ventilator help, IV treatments, or even total parenteral nutrition, and they do their best to offer meals that are balanced and can be switched up based on special and therapeutic diets.

    Residents at Greenfield get three meals a day, and there's support for those who can't eat by mouth, but folks also get barber and beautician services and watch HDTV in their rooms, and the place keeps up activity programs meant to help people feel well and involved, which makes for some peace of mind for families who worry about loved ones keeping busy or staying safe. The staff follows an interdisciplinary team approach and puts together a plan for each resident, aiming to cover physical, social, spiritual, and emotional needs, though you should know the nurse turnover is higher than the state's average, with 48.4% changing jobs compared to the state's 40%, and the nurse hours per resident are a little below average at 4.15 versus the usual 4.5, which sometimes makes it tough for everyone to get the attention they might want right away.

    Inspection records show the center is Medicare and Medicaid certified, and it earned a 4.0 health inspections rating plus a Five-Star Rated Quality Measures recognition from CMS, and the long-term care side has a high performing rating, but the short-term rehabilitation services are rated as average. Still, it's had a good number of deficiencies-80 in total on inspection reports, with specific concern in infection control (six infection-related deficiencies), plus a recent complaint in April 2025 showed the center didn't always report suspected abuse or neglect right away, which put people at possible risk, though no actual harm happened, and another recent report found issues with honoring residents' rights to respect and dignity, again without actual harm but with potential for more than minor harm. The center belongs to the Eva Care Group, operates as a for-profit facility, and isn't a continuing care retirement community, with a focus on steady long-term stays and short-term rehab rather than a full retirement campus.

    Visiting hours run from 11 in the morning to 8 at night, which gives family and friends a fair amount of time to stop in, and the place has policies for subpoenas and record requests if those ever come up. If you're looking at Greenfield Care Center, you'll find it tries to adapt to individual needs and keep residents safe and cared for, but it's wise to look over the inspection reports and talk with staff to be sure it feels like the right fit for you or your loved one.

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