Health inspection·December 19, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure privacy during care for three of eight residents (Residents 2, 3, and 4) when certified Nursing Assistants (CNA) 1, CNA 2, and CNA 3 did not fully close the privacy curtains while providing care. This failure had the potential to affect the dignity and self-worth of Residents 2, 3, and 4. Findings: a. During a review of Resident 2's admission Record, the admission Record indicated the facility admitted Resident 2 on 8/15/2025 with diagnoses including generalized muscle weakness, difficulty in walking, lymphedema (tissue swelling caused by an accumulation of protein-rich fluid that's usually drained through the body's lymphatic system), and morbid obesity (severely overweight). During a review of Resident 2's History and Physical (H&P), dated 9/1/2025, the H&P indicated, Resident 2 had the capacity to make decisions. During a review of Resident 2's Minimum Data Set (MDS- a resident assessment tool), dated 8/19/2025, the MDS indicated Resident 2 was understood by staff and was able to understand others. The MDS indicated, Resident 2 required partial to moderate assistance for activities of daily living (ADLs-activities such as bathing, dressing, personal/oral hygiene, and toileting). During an observation on 9/22/2025 at 9:00 a.m. in Resident 's room, Certified Nursing Assistant (CNA) 1 was providing ADLs to Resident 2. The privacy curtain was halfway closed while Resident 1 was being provided with incontinent care. Resident 2's bedside window curtains were open, and the resident was visible from the outside of the window. During an interview on 9/22/2025 at 10:05 a.m. with Resident 2, Resident 2 stated having privacy was important to feeling safe. Resident 2 stated feeling embarrassed if exposed to other residents or staff in the room. During an interview on 9/22/2025 at 12:03 p.m. with CNA 1, CNA 1 stated keeping the curtains closed was important for residents' privacy. CNA 1 stated residents would feel embarrassed if curtains were open while receiving care. b. During a review of Resident 3's admission Record, the admission Record indicated, the facilityadmitted Resident 3 on 3/10/2015 with diagnoses including epilepsy (a long-term chronic disease thatcauses repeated seizures due to abnormal electrical signals produced by damaged brain cells), overactivebladder, dementia (a progressive state of decline in mental abilities), and diabetes mellitus (DM-a disordercharacterized by difficulty in blood sugar control and poor wound healing).During a review of Resident 3's H&P, dated 5/28/2025, the H&P indicated Resident 3 did not have the capacity to understand and make decisions. During a review of Resident 3's MDS, dated [DATE], the MDS indicated Resident 3 had severe cognitive (ability to think, learn, remember, use judgement, and make decisions) impairment. The MDS indicated Resident 3 required partial to moderate assistance for ADLs. During a concurrent observation and interview on 9/22/2025 at 9:30 a.m. in Resident 3's room, CNA 2 was providing ADLs to Resident 3. The privacy curtain was halfway closed when Resident 3 was being provided with incontinent care. Resident 3 was observed to be naked. CNA 2 stated the curtains must be closed all the way for residents' privacy. c. During a review of Resident 4's admission Record, the admission Record indicated the (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: 055072 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 055072 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rosecrans Care Center 1140 West Rosecrans Avenue Gardena, CA 90247 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)