Torrey Pines Post Acute: Unsafe Discharge Failures - NV
The owner of the independent living facility told inspectors the placement was inappropriate from the start. The facility doesn't take residents who need help with daily activities or behavior monitoring, the owner explained, and nobody at Torrey Pines apparently communicated that the resident, identified in inspection records only as R2, had a history of disruptive behavior.
R2's behavior escalated after arrival. The resident was throwing things and hitting others. The independent living facility's owner called 911. R2 was transported to a hospital because, as the owner put it, the level of care R2 needed could not be provided there.
Inspectors cited Torrey Pines for failing to ensure R2's discharge included all necessary information to allow for a safe and effective transition of care. The violation was tagged at a level of minimal harm or potential for actual harm.
The facility's own discharge policy required that information provided to any receiving provider include, at a minimum, all necessary documentation to ensure a safe transition. Inspectors found that standard wasn't met.
The inspection was conducted November 18, 2025, and stemmed from a complaint. Torrey Pines Post Acute and Rehabilitation is located at 1701 S. Torrey Pines Drive in Las Vegas.
The independent living facility's owner was left to manage a situation the facility was never equipped to handle. R2 ended up in a hospital.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Torrey Pines Post Acute and Rehabilitation from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
TORREY PINES POST ACUTE AND REHABILITATION in LAS VEGAS, NV was cited for violations during a health inspection on November 18, 2025.
The owner of the independent living facility told inspectors the placement was inappropriate from the start.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.