Health inspection·December 5, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few CNA 1 appearing overwhelmed. Resident 1 stated that she believed this may have been because CNA 1 was working a double shift that day. Resident 1 stated that CNA 1 appeared to be rushing while providing the shower, which made her feel concerned about her care. Resident 1 stated that from the time she received her shower in the morning until the evening, when CNA 1 came in to bring her dinner tray, she did not call for assistance from CNA 1. Resident 1 stated that she chose not to call for help from the morning shower due to fear and concern regarding the CNA's earlier behavior. During an interview on 12/4/2025 at 8:45 a.m. with Resident 2, Resident 2 stated she heard Resident 1 telling CNA 1 that she was not handling her right. Resident 2 stated that the voices sounded loud, but she was unable to make out the full conversation between Resident 1 and CNA 1. During a telephone interview on 12/4/2025 at 9:33 a.m. with CNA 1, CNA 1 stated that on the day of the incident, she transferred Resident 1 into the shower chair, and after the transfer, Resident 1 informed her that she prefers to receive showers after 3:00 p.m. CNA 1 stated that the alleged incident occurred later in the evening when she was assisting Resident 1 with putting on her gown. CNA 1 stated that Resident 1 told her to be careful with her left arm prior to assistance, stating that she had a previous car accident which had fractured her left arm, and that lifting it too high could cause pain. CNA 1 stated that when she first attempted to lift the resident's arm, Resident 1 complained of pain, and CNA 1 immediately stopped. CNA 1 stated that she felt rushed during her interaction while showering the resident because she took a long time to shower and she needed to return to her other assigned residents. CNA 1 acknowledged that her feeling rushed may have contributed to handling Resident 1's left hand in a way that caused discomfort. CNA 1 stated that she did not intend to harm the residents, but she recognized that her actions could have potentially violated Resident 1's rights. During a telephone interview on 12/4/2025 at 11:14 a.m. with Unit Director of Nursing (UDON), the UDON stated that she was first made aware of the allegation on 11/20/2025 at 5:45 p.m. by LVN 1. who called her to Resident 1's room due to purplish discoloration on the resident's left thumb. The UDON stated she asked Resident 1 what had happened, and the resident stated the injury may have occurred the previous night while CNA 1 was assisting her with putting on her gown. The UDON stated Resident 1 stated that CNA 1 was rough with her when she raised her arm to put on her gown and squeezed her hand. The UDON stated she assessed Resident 1 upon being notified of the concern and during her assessment, she observed a purplish discoloration on the lower part of Resident 1's left thumb. The UDON stated that if a resident is roughly handled during care, the resident may feel afraid or unsafe. The UDON stated that the potential outcomes include refusal of care, fear of staff, and possible injury. During an interview on 12/4/2025 at 11:50 a.m. with Director of Nursing (DON), the DON stated that she was first made aware of the allegation on 11/20/2025 at 5:00 p.m. by the UDON, who informed her that Resident 1 reported being roughly handled by CNA 1. The DON stated, she instructed the UDON to send CNA 1 home, conduct a resident assessment, interview staff and other residents, and notify the administrator. The DON stated that when a resident is roughly handled during care, the resident may feel frightened, humiliated, or powerless, particularly when the resident is physically vulnerable. The DON stated that such an experience can cause a resident to feel unsafe with staff who provide hands-on care and may lead to the resident becoming withdrawn or reluctant to participate in care activities. The DON stated these outcomes place the resident at risk for decline in overall well-being and unmet care needs. During a telephone interview on 12/5/2025 at 8:43 a.m. with LVN 1, LVN 1 stated she was the charge nurse at the time Resident 1 reported the incident. LVN 1 stated Resident 1 informed her on 11/20/2025 at 5:20 p.m. inside Resident 1's room about the alleged incident. LVN 1 stated Resident 1 informed her on 11/19/2025, CNA 1 squeezed her left hand while trying to put her gown on. LVN 1 stated (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 056488 If continuation sheet Page 2 of 3 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 056488 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/05/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Sunnyside Nursing Center 22617 S. Vermont Ave Torrance, CA 90502 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)

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete she assessed Resident 1 after the report and observed purplish discoloration on the resident's left lower thumb. LVN 1 stated the discoloration appeared fresh. LVN 1 stated Resident 1 reported the bruise came from the action of CNA 1. LVN 1 stated LVN 1 stated that she believes Resident 1's report regarding CNA 1's handling of her left arm was credible. LVN 1 stated she believed Resident 1's report is consistent with the observed injury, noting the purplish discoloration on the resident's left thumb. LVN 1 acknowledged that if a resident experiences discomfort or rough handling during care, this would constitute a violation of the resident's rights. LVN 1 stated that if a resident is roughly handled during care, it can cause the resident to feel afraid, anxious, and emotionally distressed. LVN 1 stated that that such an experience could result in the resident being fearful of asking for assistance, hesitant to accept care, and could negatively impact the resident's sense of safety and trust in staff. LVN 1 stated that residents have the right to feel safe and secure while receiving care. During a review of the facility's policy and procedure (P&P) titled, Resident Rights, dated 2024, the P&P indicated, Employees shall treat all residents with kindness, respect, and dignity. Event ID: Facility ID: 056488 If continuation sheet Page 3 of 3