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Complaint Investigation

The Earlwood

Inspection Date: September 3, 2025
Total Violations 1
Facility ID 055032
Location TORRANCE, CA
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Inspection Findings

F-Tag F0559

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

consent for the room change. The SW stated this process is then documented in the resident's medical record. The SW stated the Director of Nursing (DON) had recently implemented the Room Change Form to be filled out prior to any room changes. The SW stated this form is not considered a consent and it should not have replaced the documentation in the resident's medical record. The SW stated she did not find any documentation for Resident 3's room changes on 8/8/2025 and 8/28/2025 and stated she must have forgotten to document it in Resident 3's medical record. The SW stated it was her responsibility to receive consent and follow up with the proper documentation in Resident 3's chart but forgot. During an interview

on 9/3/2025 at 4:18 p.m., with the DON, the DON stated her job functions include reviewing discharges and room changes. The DON stated prior to staff changing a resident's room, they should inform the resident and/or their responsible party (RP) the reason for the room change, obtain consent, and provide a room change notification prior to a resident's room change. The DON stated Resident 3 should have received notification, and consent from prior to his room being changed. During a review of the facility's Policy and Procedure (P/P) titled, Room or Roommate Change, dated 6/27/2022, the P/P indicated to ensure that a resident can exercise their right to change rooms or roommates. Prior to changing a room or roommate assignment, the resident, the resident's representative (if available), the resident's new roommate, and the resident's current roommate will be given timely advance of such change and will include the following: 1.

The notice of a change in room or roommate assignment may be oral or in writing, or both, and will include

the reason(s) for such change. 2. Notification of Room Change notify the residents of the room change. The P/P indicated information regarding room transfers will be documented in the resident's medical record.

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📋 Inspection Summary

THE EARLWOOD in TORRANCE, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 THE EARLWOOD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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