Providence Little Co Of Mary Transitional Care Ctr
Inspection Findings
F-Tag F0559
F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
alert, the family/responsible party is notified. If the room change is refused by the resident/family/responsible party, the room change is stopped. Most room change notifications are documented in the resident's digital chart. Each resident's room have signage notifying the residents that their room is not permanent during their stay at the facility, per CN 1. During an interview on 9/22/25 at 3:31 p.m. with CN 2, CN 2 stated, if a room change is required, the resident and/or family are alerted for consent. If the resident/family agrees to the change, the room change notification form is completed. If the resident/family refuse, the room change notification form is still completed, indicating the resident's/family's refusal, but no room change would take place as the resident's/family's decision is honored. Changing a resident's room against their will could lead to the resident's distrust of the facility and a violation of the resident's rights. During an interview on 9/22/25 at 3:46 p.m. with the Nursing Director, the ND stated all resident room changes followed a structured process. The residents are asked for their consent, with their preferences carefully considered. The families/responsible parties are informed of the planned room change and the reason for the change. A Room Change Notification form is completed, and written notice is provided to the resident and/or family member/responsible party. This process ensured compliance with regulations while protecting residents' rights, dignity, and comfort. Unauthorized room changes may result
in a resident's physical decline or cause emotional distress due to the lack of control over their own decisions and unhappiness with their living arrangements, which may contribute to the resident giving up. In
this case, several room changes were made; however, the Room Change Notification form was not completed and signed by Resident 1, which the facility recognized as a deviation from the standard process. During a review of the facility's policy and procedure (P&P), titled Transitional Care Center: Notification of Change in Resident Status, effective 07/2025, page one of three, the Policy section indicated, In keeping with the mission and core values of Providence, it will be the policy of the facility to assure that the physician and family member or legal authorized representative are promptly notified in the event of a change in the Resident's status. The Procedure section indicated: The facility will also promptly notify the resident or resident's legal representative designated family member/next of kin when there is: a.
A change in room or room assignment b. A change in residents' rights under Federal or State law. During a
review of the facility's P&P, titled Transitional Care Center: Transfer, Discharge, Bed Hold Notification and Requirements, effective 09/2024, the Procedure/General Instructions section indicated, Except in an emergency, residents will not transfer to another room against his or her wishes, unless given prior reasonable written notice.
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PROVIDENCE LITTLE CO OF MARY TRANSITIONAL CARE CTR in TORRANCE, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 PROVIDENCE LITTLE CO OF MARY TRANSITIONAL CARE CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.