Health inspection·January 21, 2026

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 ensure that one of two sampled residents (Resident 1) had an arranged transportation to bring the resident to an outside Primary Care Physician's (PCP) appointment. This deficient practice had the potential to cause delay in treatment and worsening of Resident 1's health condition.Findings:During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE]. Resident 1's diagnoses included heart failure (the heart's main pumping chamber [left ventricle] becomes stiff and thick, preventing it from relaxing and filling properly with blood between beats, leading to symptoms like shortness of breath, fatigue, and swelling, despite the heart's normal contraction strength), unspecified dementia, unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety (the underlying cause or specific form of dementia is not documented, the degree of cognitive impairment is not specified [e.g., mild, moderate, severe], the patient lacks symptoms like aggression, wandering, agitation, or significant mood/anxiety issues). During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool) dated 7/18/2025, the MDS indicated Resident 1 had severely impaired cognitive skills (mental action or process of acquiring knowledge and understanding) for daily decision making. The MDS indicated Resident 1 was dependent (helper does all of the effort, resident does none of the effort to complete the activity) in eating, oral hygiene, toileting hygiene, shower/ bathe self, lower body dressing, putting on/ taking off footwear and personal hygiene. The MDS also indicated Resident 1 needs substantial/maximal assistance (helper does more than half the effort. Helper lifts or holds trunk or limbs but provides more than half the effort) in sit to stand, chair/bed-to-chair transfer, walk 10 feet, walk 50 feet with two turns and walk 150 feet. During an interview on 1/20/2026 at 3:56 PM with Family Member 1 (FM1), FM1 stated Resident 1 had two outside PCP appointments on 8/4/2025 and 8/20/2025 and no transportation was arranged by the facility for Resident 1 to bring Resident 1 to the outside PCP appointments. During an interview on 1/20/2025 at 4:37 PM with Social Worker (SSW), SSW stated, only one transportation had bene made by the facility for Resident 1's outside PCP appointment. SSW confirmed, a physician order was required for arranging transportation for Resident 1's to bring the resident to outside doctor's appointment. SSW added, the licensed nurses were responsible for placing the appointment order in the transportation communication binder (a formal, daily record used by care providers, social workers, or transport staff to document the safe movement of clients to and from services. It acts as a critical safety, accountability, and compliance tool to ensure all individuals are accounted for and to verify the delivery of authorized services). SSW stated she did not know that Resident 1 had an appointment with the outside PCP on 8/20/2025. During a review of Resident 1's Physician Orders Summary Report (POSR) dated 7/16/2025, the POSR indicated Resident 1 may have appointment with the resident's outside on8/4/2025 at 11:00 AM, one time only until 8/4/2025. POSR did not indicate Resident 1's PCP appointment on Residents Affected - Few (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 01/21/2026 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)