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Complaint Investigation

Palos Verdes Health Care Center

March 27, 2026 · Lomita, CA · 26303 Western Ave.
Citations 1
CMS Rating 2/5
Beds 48
Provider ID 555028
Healthcare Facility
Palos Verdes Health Care Center
Lomita, CA  ·  View full profile →
Inspection Summary

PALOS VERDES HEALTH CARE CENTER in LOMITA, CA — inspection on March 27, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies

Resident 2 stated CNA 2 put his fingers in his rectum four times while being cleaned. Resident 2

assigned to Resident 2. CNA 2 stated Resident 2 had a bowel movement and needed to be cleaned.

area. CNA 2 stated Resident 2 was tense during cleaning and was instructed to relax. CNA 2 stated after he placed Resident 2 back to bed.

During an interview on 3/27/2026 at 3:31 p.m. with the Director of Nursing (DON), the DON stated on 3/25/2026 Resident 2's Family Member (FM) 1 reported CNA 2 was rough and put two fingers in Resident 2's rectum.

The DON stated the proper handling and the right way to clean resident is to explain to the residents before you touch them and ask if they are comfortable with you touching them.

The DON stated if a resident is uncomfortable and says stop, the CNA should call the charge nurse immediately and explain to the resident again the reason for cleaning, changing the diaper and repositioning.

The DON stated residents' could have a loss of dignity, trust and could be afraid of male nurses touching them.During a review of the facility's policy and procedure (P&P), titled Quality of Life - Dignity, date revised 8/2009, the P&P indicated, Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality.

Residents shall be treated with dignity and respect at all times.

Treated with dignity means the resident will be assisted in maintaining and enhancing his or her self-esteem and self-worth.During a review of the facility's policy and procedure (P&P), titled Resident Rights, date revised 12/2019, the P&P indicated, Employees shall treat all residents with kindness, respect, and dignity.

Federal and state laws guarantee certain basic rights to all residents of this facility.

These rights include the resident's right to a dignified existence, be treated with respect, kindness, and dignity.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOMITA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PALOS VERDES HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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