Carmel Mountain Rehab: Broken TVs Leave Residents Bored - CA
"Resident 2 just stayed in bed and had nothing to do," the family member told inspectors....
Latest reports, citations, and penalties from CMS data
"Resident 2 just stayed in bed and had nothing to do," the family member told inspectors....
The violation occurred at Torrance Care Center West on Torrance Boulevard, where staff failed to assist Resident 1 with filing a complaint about brief changes....
Resident 13 was supposed to receive oxygen at 2 liters per minute according to physician orders....
The urinal had visible drops of urine on the handle and bottom when inspectors arrived at the facility on September 16....
Instead of serving pepper steak as listed on the menu, the cook substituted chicken with vegetables in gravy for residents on pureed and mechanical soft diets....
Licensed Practical Nurse #220 found the resident with blood still wet on her leg after the botched transfer....
The falsified records were discovered during routine review....
When inspectors arrived at 11:23 a.m., they found the window open for ventilation with a large hole torn through the lower corner of the screen....
Resident 13 told inspectors that two certified nursing assistants the previous night had turned off call lights without meeting anyone's needs....
Federal inspectors found the facility's care planning failures during a September complaint investigation....
The administrator received notification that the immediate jeopardy had been lifted at 8:30 p.m....
The crisis unfolded at Bridgeway Senior Living on September 6 at 10:40 PM....
The August 22nd incident at The Broadview Center involved one resident grabbing another resident....
Resident 1 signed their Notice of Proposed Transfer/Discharge on August 28, 2025, at the same time they were moved to a board and care facility....
The immediate jeopardy designation was lifted the following day after the facility completed emergency training and safety surveys with all residents....
Her care plan required assistance from one person for all transfers using a gait belt and two-wheeled walker....
For seven of the ten days inspectors reviewed, families and residents saw fabricated staffing information....
Licensed nurses documented none of these interventions on August 28....
The complaint never reached the administrator at Hadley Pointe Nursing Rehab & Care for three days....
The September 3rd incident involved Resident 4, who spilled the hot beverage onto her lap during what appeared to be a routine activity....