Inspection·September 2, 2025

F 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based on observation, interview, and record review, the facility failed to ensure to post accurate and updated Direct Care Service Hours Per Patient Day (DHPPD, refers to the actual hours of work performed per patient day by a direct caregiver) and Daily Posted Nurse Staffing in accordance with the facility's policy and procedure (P&P) titled Posting Direct Care Daily Staffing Numbers. This deficient practice resulted in residents and visitors not being informed of the facility census, staffing and actual hours worked by staff.Findings: During a concurrent observation and interview on 8/30/2025 at 4:34 AM with Registered Nurse Supervisor (RN 1), the Daily Staffing dated 8/29/2025, Nurse Staffing Assignment and Sign-In Sheet dated 8/29/2025 and 8/30/2025 were reviewed. The Daily Staffing dated 8/29/2025, indicated one RN, four Licensed Vocational Nurses (LVNs), and five Certified Nurse Aides (CNAs) for 11PM to 11:59 PM and one RN, four LVNs, and 8 CNAs for 12 AM to 7 AM. The Nursing Staffing Assignment and Sign-In Sheet indicated four CNAs signed in and worked the 11PM to 7AM shift. RN 1 stated there were only five CNAs that were scheduled for 8/29/2025 but only four CNAs that worked the 11 PM to 7 AM shift with a census of 97 Residents. RN 1 stated that it was the Payroll officer (PR) that completed the Daily Posted Nurse Staffing on weekdays. RN 1 stated he does not know who completes and posts it on the weekends (Saturdays and Sundays) as the assistant Director of Staff Development (ADSD) and PR do not report to the facility on the weekends. RN 1 stated he was not trained to do the Daily DHPPD. RN 1 stated that according to the policy, Nurse staffing should be posted daily for the residents, family and visitors to see. During an interview on 8/30/2025 at 6:40 AM with the Administrator (ADM), the ADM stated that there were no Daily Posted Nurse Staffing during the weekend. The ADM stated that the DHPPD was done by PR on Mondays. The ADM stated that according to the facility policy, Daily Posted Nurse Staffing and DHPPD will be posted daily. The ADM stated that the facility did not follow their policy. During an observation at nursing station 1 on 9/2/2025 at 6:49 AM, Daily Posted Nurse Staffing dated 8/29/2025 was posted at the designated staffing posting area. During a concurrent observation and interview on 9/2/2025 at 7:18 AM with Payroll staff (PR), the PR observed Daily Posted Nurse Staffing posted was still dated 8/29/2025. The PR stated that she does not work on Saturdays and Sundays and only completes the DHPPD form on Mondays and posts it when she is done. The PR stated she did not know that posting should be done within two hours of the beginning of the shift. The PR stated that it was a holiday on 9/1/2025 and she was off, so the DHPPD was not updated. The PR stated that according to their policy, nurse staffing should be posted daily. The PR confirmed that the policy was not followed. During a review of the facility's P&P titled, Posting Direct Care Daily Staffing Numbers revised 8/2022, the P&P indicated: The facility will post on a daily basis for each shift nurse staffing data, including the number of nursing personnel responsible for providing direct care to residents. Within two (2) hours of the beginning of each shift, the number of licensed nurses (RNs and LVNs) and the number of unlicensed nursing personnel (CNAs and Nurse Aides [NAs]) directly responsible for resident care is posted in a prominent location (accessible to residents and visitors) and in a clear and Residents Affected - Some (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: 056127 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 056127 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Live Oak Rehab Center 537 W Live Oak San Gabriel, CA 91776 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)