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Assisted Living Investigative

Woodruff Care Home INC

Reviewer concerns include severe neglect and failure to respond to call bells (mentioned by 2 reviewers) — investigate before committing.

16409 Woodruff Avenue, Bellflower, CA 9070688 bedsLicensed & Active
Google rating
2.8/5

based on 18 Google reviews

5
4
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2
1
Woodruff Care Home INC Assisted Living in Bellflower, CA — Street View
Street View

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What this means for your family

This facility presents significant safety risks, particularly regarding medication errors and failure to monitor patients. While some past reviews suggested improvements, recent reports of neglect and staff incompetence are too severe to ignore; families should prioritize a site visit and specifically ask about their protocol for emergency call bells and patient wandering prevention.

Google Reviews

Google Reviews

18 reviews on Google
Families should exercise extreme caution, as multiple reviewers report severe safety failures including patient elopement, medication errors, and unresponsiveness to emergency call bells. While some older reviews from years past noted improvements under new management, recent feedback highlights critical issues with staffing incompetence, neglect, and poor facility maintenance.

Quality Themes

Tap a score for details
Food5.0Staff1.0Clean3.0ActivitiesN/AMeds1.0Memory1.0Comms1.0ValueN/A

Strengths

  • Historical reports of improved management
  • Friendly demeanor of specific staff members (e.g., Rocio)
  • Cleanliness noted by some long-term visitors

Concerns

  • Severe neglect and failure to respond to call bells (mentioned by 2 reviewers)
  • Inadequate staffing levels and nurse incompetence (mentioned by 3 reviewers)
  • Patient safety risks including elopement and falls (mentioned by 2 reviewers)
  • Poor facility maintenance and structural issues

Rating Trends

Tap a year to see what changed

234'13(1)'17(4)'19(1)'23(3)'25(1)

Distribution · 19 analyzed

5
6
4
1
3
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2
1
1
9

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed some recent mentions of improved management here; could you tell me more about the specific changes being made to the leadership and daily operations?
  • 2With the recent focus on improving care, what specific steps are being taken to ensure call bells are answered promptly and residents are never left waiting?
  • 3How does the nursing team approach medication management and ensuring all medical needs are met accurately every day?
  • 4What is your current process for monitoring resident safety, specifically regarding fall prevention and ensuring everyone stays secure within the community?
  • 5Could you describe what a typical day of social activities and engagement looks like for the residents here?
  • 6How do you ensure consistent communication between the staff and family members regarding any changes in a resident's health or well-being?

Personalized based on this facility's data


Key Review Excerpts

The nurses have over 50-60 patients so good luck getting your medicine. They don’t care and never answer emergency call bells.

Long-term resident's family · 2023☆☆☆☆

I observed staff smiling, alert, moving quickly, speaking gently and respectfully to patients and visitors alike. I saw patients clean, alert, and cared for.

Social worker visiting a client · 2018★★★★

My mother had to spend weeks transferred from hospital to be quarantined at this facility due to an infection the staff has ignored my mother in her last month of life

Family member of deceased resident · 2017☆☆☆☆
Source: 18 Google reviews

State Inspection History

State Inspections

Source: CA Community Care Licensing Division

36total
4 Type A— immediate health risk
14 Type B— non-compliance
Clean record— no deficiencies found
Apr 13, 2026Complaint
Clean

COMPLAINT INVESTIGATION REPORT

Jan 6, 2026Inspection
Clean

The facility underwent a required annual inspection conducted by the Licensing Program Analyst. The report indicates that the facility is compliant with all applicable regulations, as no deficiencies were observed during the visit.

Oct 23, 2025Complaint
Clean

This report details a complaint investigation conducted regarding allegations of staff failing to address resident misconduct and staff speaking to residents inappropriately. The investigation found that there was not enough supportive evidence to substantiate the allegations, leading to an 'Unsubstantiated' finding for all claims.

Oct 7, 2025Other
Clean

The facility underwent an unannounced Case Management visit. The analyst conducted a health and safety check, including a tour of the back patio. No safety concerns or deficiencies were observed during today's visit.

Apr 3, 2025Complaint
Clean

This report details a complaint investigation regarding allegations that staff disposed of a resident's personal belongings. The investigation found no sufficient evidence to support the allegation, resulting in an 'Unsubstantiated' finding. No deficiencies were cited in this report.

Jan 30, 2025Inspection
Clean

The facility underwent a required annual inspection and was found to have one deficiency. The primary issue cited relates to the temperature of hot water in resident bathrooms, which was observed to be below the required range of 105-120 degrees F. The facility was given a Plan of Correction due by 02/05/2025 to address this plumbing issue.

Aug 29, 2024Complaint
Clean

This report details an investigation into two allegations: staff failing to obtain resident permission to change a medical provider, and staff financially abusing a resident. The investigation found no sufficient evidence to support either allegation, resulting in both being deemed 'Unsubstantiated'.

Mar 4, 2024Complaint
Clean

This report details a follow-up investigation conducted regarding an allegation of physical assault. The investigation reviewed records and conducted interviews, concluding that there was not a preponderance of evidence to prove the alleged violation occurred. Consequently, the allegation was deemed unsubstantiated.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Woodruff Care Home, INC.

Administrator

GEMMA DEOSO

Source: State licensing data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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