Health inspection·March 19, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to protect one of three sampled residents (Resident 2) who is legally blind verbally abuse repeatedly by Resident 1. This deficient practice resulted in Resident 2 feel unsafe and uncomfortable. Findings: During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including cerebral infarction (disruptive blood flow to the brain), and paranoid personality disorder (a mental condition in which a person has a long-term pattern of distrust and suspicion of others). During a review of Resident 1's Minimum Data Set (MDS- a resident assessment tool) dated 3/11/2025, the MDS indicated Resident 1's cognition (ability to think, understand, learn, and remember) was intact and required moderate assistance with toileting, dressing, and personal hygiene. During a review of Resident 1's care plan initiated 9/26/2024, the care plan focus was physical abuse, with goals including resident will verbalize understanding of need to control physically abusive behavior and resident will not harm self or others. Interventions for Resident 1 included analyze key times, places, circumstances, triggers, and what deescalates behaviors, explore source of resident's dissatisfaction/agitation, and always approach the resident in calm, unhurried manner; do not argue with the resident. During a review of Resident 1's care plan initiated 3/14/2024, the care plan focus was risk for violence, with goals including resident will make all efforts to express self calmly. Interventions for Resident 1 included attempt behavioral intervention if resident becomes verbally/physically abusive, speak in a calm voice, and always approach the resident calmly and unhurriedly. During a review of Resident 1's Change in Condition (COC) dated 12/23/2024 timed 5:04 a.m., the COC indicated Resident 1 was exhibiting aggressive behavior, yelling at the staff, and [NAME] other residents to fight. During a review of Resident 1's COC dated 3/1/2025 timed 1:00 a.m., the COC indicated Resident 1 was displaying disruptive behaviors by arguing, yelling, and screaming at the staff by wanting to fight the staff. (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 2 Event ID: 055070 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 055070 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Seacrest Post-Acute Care Center 1416 West 6th Street San Pedro, CA 90732 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)