The Earlwood

F 0790

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

Level of Harm - Minimal harm or potential for actual harm

**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 REDACTED] and readmitted on [DATE REDACTED] 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.

Residents Affected - Few

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

(X6) DATE

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

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

The Earlwood

20820 Earl Street Torrance, CA 90503

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

Federal health inspectors cited THE EARLWOOD in TORRANCE, CA for a deficiency under regulatory tag F-F0806 during a complaint investigation conducted on 2025-11-20.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of THE EARLWOOD.

Correction Status: Deficient, Provider has no plan of correction.