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Complaint Investigation

Driftwood Healthcare Center

November 25, 2025 · Torrance, CA · 4109 Emerald St
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 555114
Healthcare Facility
Driftwood Healthcare Center
Torrance, CA  ·  View full profile →
Inspection Summary

DRIFTWOOD HEALTHCARE CENTER in TORRANCE, CA — inspection on November 25, 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.

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Inspection Findings

FF0552
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/25/2025 at 3:02 p.m., the Director of Nursing (DON) stated the informed consent for Quetiapine Fumarate Quetiapine Fumarate and Aripiprazole should have been obtained from Resident 1's Conservator, not Resident 1's FM.

The DON stated the facility staff were not [NAME] that Resident 1 had a Conservator.

During a review of the facility's Policy and Procedure (P/P) titled Surrogate Decision Maker- Informed Consent dated 11/14/2025, the P/P indicated the facility will identify a person (who is unaffiliated with the facility) to serves as a representative of the Resident, including public guardians.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Driftwood Healthcare Center

4109 Emerald St Torrance, CA 90503

SUMMARY STATEMENT OF DEFICIENCIES

During a review of Resident 1's Minimum Data Set ([MDS] a resident assessment tool) dated 9/12/2025, the MDS indicated Resident 1's cognition was severely impaired, and Resident 1 was dependent (helper does all of the effort) on facility staff to complete his activities of daily living ([ADLs] activities such as bathing, dressing and toileting a person performs daily).

During a review of Resident 1's Letter of Conservatorship dated 6/27/2025, the Letter of Conservatorship indicated the Los Angeles County Office of the Public Guardian, appointed Conservator (a person appointed by a court to manage the financial or personal affairs of someone who is unable to do so themselves due to illness, disability, or other incapacitation) of the person and estate of the named Conservatee (a person who is deemed by a court to be unable to manage their own personal and/or financial affairs, and for whom a judge has appointed a conservator to make decisions on their behalf) , Resident 1, effective as of 6/11/2025.

During a review of Resident 1's Physician Order dated 11/6/2025, the Physician Order indicated Resident 1 could be discharged on 11/7/2025, per Resident 1's FM's request.

During a review of Resident 1's Discharge Planning Review Form dated 11/7/2025, the Discharge Planning Review Form indicated Resident 1's FM was contacted regarding Resident 1's discharge planning and Resident 1 was discharge to his FM's care, per the request of the FM.

During an interview on 11/25/2025 at 12:06 p.m., the Social Services Director (SSD) stated she was not aware that Resident 1 had a Conservator.

The SSD stated if she had known Resident 1 had a Conservator, she would have communicated with and included the Conservator in the discussion regarding discharge plans for Resident 1.

During an interview on 11/25/2025 at 3:02 p.m., the Director of Nursing (DON) stated facility staff were unaware that Resident 1 had a Conservator because there was no information regarding a Conservatorship provided when Resident 1 was admitted to the facility.

The DON stated Resident 1's discharge planning should not have been discussed with Resident 1's FM and Resident 1 should not have been allowed to discharge with his FM.

During a review of the facility's Policy and Procedure (P/P) titled Discharge Planning dated 7/2020, the P/P indicated if the Interdisciplinary team ([IDT] a group of professionals from different fields who work together to achieve a common goal) and the Attending Physician determine that the resident may be appropriate for discharge, Social Services Staff will coordinate the discussion of discharge with the IDT, the resident, and the Responsible Party (RP).

Facility ID:

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 TORRANCE, 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 DRIFTWOOD HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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