The Earlwood

Provide routine and 24-hour emergency dental care for each resident.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure one of three sampled residents (Resident 1) was seen by an oral surgeon (Dental specialist that performs surgery on mouth jaw and face).This deficient practice had the potential for Resident 1 to have gum disease, tooth loss and an overall poor quality of life.Findings:During a review of Resident 1's admission Record (Face sheet) dated 11/20/ 2025, the face sheet indicated that Resident 1was admitted on [DATE] and readmitted on [DATE] with the diagnosis including Bechet's disease (autoimmune disease-causing inflammation of blood vessels), depression ( a mood disorder affecting how a person thinks, feels and acts) and dementia (a progressive state of decline in mental abilities).During a review of Resident 1's History & Physical (H&P) dated 1/17/2025, the H&P indicated, Resident 1 was alert and oriented.During a review of Resident 1's Minimum Data Set (MDS - a federally mandated resident assessment tool), dated 10/17/2025, the MDS indicated Resident 1's cognition was intact.

The MDS also indicated Resident 1needs substantial/maximal assistance (helper who does most of the work) with activities of daily living (ADL's- activities such as bathing, dressing, and toileting a person performs daily).During a review of Resident 1's Dental Progress Note dated 7/1/2025, the Dental Progress Note indicated Resident 1's treatment recommendations, were to follow-up with an oral surgeon for referral for scaling and root planing (SRP-deep cleaning procedure for gum disease).During a concurrent observation and interview on 11/20/2025 at 8:30 a.m. with Resident 1 in Resident 1's room. Resident 1's teeth showed signs of decay (rot from bacteria). Resident 1 stated he would like to see a dentist.

During an interview on 11/20/2025 at 11:43 a.m. with the Social Services Director (SSD), the SSD stated she was made aware by Resident 1's sister that Resident 1 needed to see an oral surgeon.

The SSD stated Resident 1 did have a recommendation to see an oral surgeon on 7/1/2025.

The SSD stated the dentist recommendation should have been done right away.

The SSD stated the facility failed Resident 1.

During an interview on 11/20/2025 at 3:49 p.m. with the Administrator (ADM), The ADM stated she expects the staff to follow up on the dentist's recommendations within 72 hours after receiving the recommendation.

The ADM stated there was a delay in care for Resident 1.During a review of the facility's Policy and Procedure (P&P) titled Appointments the P&P indicated that this policy and procedure document outlines the support a facility provides to residents in accessing specialty healthcare services to enhance their health and wellbeing.

The P&P indicated the facility will help residents contact specialty providers as needed, based on health recommendations.

The P&P indicated the facility will assist in scheduling appointments and arranging necessary transportation for residents to ensure they can attend their appointments.

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

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

The Earlwood

20820 Earl Street Torrance, CA 90503

SUMMARY STATEMENT OF DEFICIENCIES