Palos Verdes Health Care Center
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.
Inspection Findings
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.