Bay Crest Care Center
BAY CREST CARE CENTER in TORRANCE, CA — inspection on October 17, 2025.
Found 2 citations. 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
During a review of Resident 2's History and Physical (H&P) dated 10/5/2025, the H&P indicated Resident 2 had the capacity to understand and make decisions.
During a review of Resident 2's Minimum Data Set ([MDS] a resident assessment tool) dated 10/3/2025, the MDS indicated Resident 2 required partial/moderate assistance (helper performs less than half of the effort for an activity) with toilet hygiene, and shower/bath .
During an observation on 10/17/2025 at 9:15 a.m., Certified Nursing Assistant (CNA) 1 was observed pushing Resident 2 in a shower chair from the shower room through the hallway to the resident's bedroom. Resident 2 had a bath towel covering the front of his body but Resident 2's uncovered buttocks was visible and hanging through the shower chair.
During an interview on 10/17/2025 at 10:15 a.m., Resident 2 stated he felt something cold on his buttocks and knew at that time that his buttocks must have been uncovered and hoped no one saw it because that would be embarrassing.
During an interview on 10/17/2025 at 10:26 a.m., CNA 1 stated he usually wrapped a bath towel around resident's entire body following their shower and he did not know that Resident 2's buttocks was uncovered and visible. CNA 1 stated having the resident's buttocks visible for all to see could be embarrassing to Resident 2 The Director of Nursing (DON) stated Resident 2 should have been fully covered following his shower, so his buttocks was not uncovered and visible During a review of the facility's undated Policy and Procedure (P/P), titled Dignity the P/P indicated each resident shall be cared for in a manner that promotes and enhances his or her sense of wellbeing, level of satisfaction with life, and feelings of self -worth and selfesteem.
Staff promote, maintain and protect the resident's privacy, including bodily privacy during assistance with personal care and during treatment procedures.
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bay Crest Care Center
3750 Garnet Street Torrance, CA 90503
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/17/2025 at 12:06 p.m., Licensed Vocational Nurse (LVN) 1 stated that on 10/7/2025 at 11:30 a.m., Resident 1 told her he burned his left leg while cooking eggs. LVN 1 stated she told the ADM on 10/7/2025 about Resident 1 getting burned when he used the egg cooker. LVN 1 stated she knew Resident 1 had an egg cooker in his room, because when she went there daily to treat his other wounds, she would see the egg cooker on the floor. LVN 1 stated residents were not allowed to have heating/cooking devices in their room because it could be dangerous, causing a fire and/or burns to the resident(s) but she did not tell anyone prior to his report of a burn that he had the egg cooker.
During an interview on 10/17/2025 at 12:26 p.m., the DON stated he knew Resident 1 had an egg cooker in his room at one time, but he thought the egg cooker was finally gone.
The DON stated he never checked Resident 1's room to verify if the egg cooker was gone.
The DON stated if he knew the egg cooker was still in Resident 1's room, he would have checked the egg cooker to make sure it was functioning properly, educated Resident 1 on using the device safely and created a care plan.
During an interview on 10/17/2025 at 12:41 p.m., the ADM stated, she believes Resident 1 came to the facility with an egg cooker, when she found out about it, she told him he could not have it in his room (date unknown).
The ADM stated she did not check Resident 1's room to verify if the egg cooker was gone because of the resident's behavior of yelling, cursing, calling staff names and accusing staff of stealing his personal items, and because the Resident initially hid the egg cooker in a box that was in his room.
The ADM stated because the resident's egg cooker looked old and dirty, she purchased an egg cooker and eggs and kept them in the facility's kitchen for Resident 1's use, whenever he wanted eggs.
The ADM stated she was notified by LVN 1 (10/7/2025) that Resident 1 had burned himself.
The ADM stated she could not remember if LVN 1 told her the burn was from an egg cooker.
The ADM stated she did not go to Resident 1's room after the burn was reported to her to check on Resident 1.
The ADM stated residents were told they were not allowed to have heating devices in their room because of safety issues.
The ADM stated she never gave approval for Resident 1 to have a cooking appliance in his room because it was not safe.
During a review of the facility's undated P&P titled, Electrical Appliances the P&P indicated only authorized electrical appliances will be permitted in residents living area.
Residents may not maintain any electrical appliances (i.e., heating irons, cooking utensils, etc.,) within their living area, unless approved, in writing, by the Administrator, or his/her designee.
Should electrical appliances be permitted, each must be in good working order, free of frayed cords and UL ([Underwriters Laboratories] a product that has been tested and certified by an independent safety science company, to meet specific safety, performance, or quality standards) approved .
Facility ID: