Health inspection·January 30, 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) right to be free from physical abuse. This failure resulted in Resident 2 slapping Resident 1 on the left side of the face. Findings: During a review of Resident 1's admission Record, the admission Record indicted Resident 1 was admitted by the facility on 8/22/2017 and readmitted to the facility on [DATE] with diagnoses including Parkinson's disease (a progressive disease of the nervous system marked by tremor, muscular rigidity, and slow imprecise movements), polyosteoarthritis (a progressive disorder of the joints caused by a gradual loss of cartilage) and major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest). During a review of Resident 1's Minimum Data Set (MDS- a resident assessment tool) dated 1/24/2025, the MDS indicated Resident 1's cognitive (ability to think and reason) skills for daily decision-making was moderately impaired (cues/supervision required). During a review of Resident 2's admission Record, the admission Record indicated Resident 2 was admitted by the facility on 10/30/2024 with diagnoses including schizoaffective disorder (a mental illness that can affect thoughts, mood, and behavior), psychosis (a severe mental condition in which thought, and emotions are so affected that contact is lost with reality), and anxiety disorder (a mental health condition that causes excessive fear and worry). During a review of Resident 2's MDS, dated [DATE], the MDS indicated Resident 2's cognitive skills for daily decision-making was moderately impaired (cues/supervision required). During an interview with Certified Nurse Assistant (CNA) 1 on 1/30/2025 at 11:57 a.m., CNA 1 stated Resident 2 became agitated about a week ago and tried to throw a book of files at her while at the nursing station. During an interview with Resident 1 on 1/30/2025 at 12:09 p.m., Resident 1 stated his roommate (Resident 2) hit him on the left side of his face . Resident stated the incident happened around 9:30 p.m. and there was a female nurse with him in the room at that time. Resident 1 stated he was scared when the incident happened. (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 4 Event ID: 555816 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 555816 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Lawndale Healthcare & Wellness Centre LLC 15100 S Prairie Lawndale, CA 90260 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)