Health inspection·May 29, 2025

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to monitor two of two sampled resident (Resident 11 and Resident 12) after a change of condition occurred. Residents Affected - Few This failure had the potential to result in a potential delay of care to Resident 11 and Resident 12. Findings: During a review of Resident 11's admission record, the admission record indicated Resident 11 was admitted to the facility on [DATE] with diagnoses including fracture of left femur (break or injury of the thigh bone or hip) and hypertension (high blood pressure). During a review of Resident 11 ' s Minimum Data Set (MDS - a resident assessment tool), dated 4/23/2025, the MDS indicated Resident 11 had no cognitive (ability to learn, reason, remember, understand, and make decisions) impairment, required set-up assistance when eating, and required maximal assistance (helper does more than half the effort) with toileting and bathing. During a concurrent interview and record review on 5/29/2025 at 1:54 p.m. with Licensed Vocational Nurse (LVN) 1, Resident 11 ' s medical record was reviewed. LVN 1 stated Resident 11 had an episode of emesis (vomiting), was perspiring (sweating), and was hypotensive (low blood pressure). LVN 1 stated Resident 11's blood pressure was 91/59 millimeters of mercury (mmHg- unit of measurement; normal blood pressure is 120/80) and her heart rate was 120 beats per minute (bpm - unit of measurement for heartbeat; normal heart rate is 80-100 bpm). LVN 1 stated on 4/25/2025 at 9:14 p.m., the facility informed the physician of Resident 11 ' s change of condition, and the physician recommended to continue to monitor Resident 11. LVN 1 stated the facility called 911 for the resident on 4/25/2025 at 9:16 p.m., but Resident 11 refused to transfer to the hospital at the time. LVN 1 stated Resident 11 had another episode of emesis on 4/26/2025 at 3:00 a.m., 911 was called by the facility, and Resident 11 was transferred to a general acute care hospital (GACH) on 4/26/2025 at 3:30 a.m LVN 1 stated there is no reassessment of vital signs between 4/25/2025 9:14 p.m. and 4/26/2025 3:30 a.m. LVN 1 stated in the 6 hours, resident ' s vital signs were not reassessed. During a review of Resident 12 ' s admission record, the admission record indicated Resident 11 was initially admitted to the facility on [DATE], and readmitted on [DATE] with diagnoses including congestive heart failure (CHF-a heart disorder which causes the heart to not pump the blood efficiently, sometimes resulting in leg swelling) and end stage renal disease (ESRD - irreversible kidney failure) with dependence on renal (kidney) dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed) . (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 4 Event ID: 055032 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 055032 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/29/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Earlwood 20820 Earl Street Torrance, CA 90503 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)