Torrance Care Center West, Inc
TORRANCE CARE CENTER WEST, INC in TORRANCE, CA — inspection on September 15, 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.
Inspection Findings
During a review of the facility's Policy and Procedure(P&P) titled, Grievance/Concerns, undated, the P&P indicated, The staff shall respond promptly and appropriately to concerns or complaints expressed by residents or their family, friends, or responsible party.
Filing of Grievance: Grievances must be submitted to the coordinator or designee within 30 days of becoming aware of the alleged discrimination action.
The coordinator or designee shall conduct an investigation of the complaint to determine its validity.
The investigation may be informal, but it must be thorough, affording all interested parties/persons an opportunity to submit evidence relevant to the complaint.
The coordinator or designee will issue a written decision on the grievance no later than 30 days after its filing.During a review of the facility's Policy and Procedure(P&P) titled, Social Service Director: Job Description, undated, the P&P indicated, Major Duties and Responsibilities: The Social Service Director will assist residents in voicing and obtaining resolution to grievances.
The Director will review complaints and grievances made by the resident and make a written report indicating what action(s) were taken to resolve the complaint or grievance.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/15/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Torrance Care Center West, Inc
4333 Torrance Blvd Torrance, CA 90503
SUMMARY STATEMENT OF DEFICIENCIES
the Minimum Data Set Coordinator (MDSC), Resident 1's Care Plan (CP), revised 8/14/2025, the CP Focus indicated, Resident 1 had aggressive behavior during diaper change.
The CP goal indicated, Resident 1 will have no evidence of behavior problems by review date (10/9/2025).
The CP Interventions indicated to explain why behavior was inappropriate, approach in a calm manner, and attempt to determine underlying cause.
The MDSC stated, Resident 1's care plan goal was not objective and measurable.
The MDSC stated that interventions were generic (not specific).
The MDSC stated Resident 1's care plan did not address the actual issue of accommodating Resident 1's requests to adjust her adult brief in a comfortable way.During an interview on 9/15/2025, at 2:50 p.m., with the DON, the DON stated, care plans are created to guide the staff on how to care for residents with identified problems.
The DON stated, without a care plan with specific interventions, a resident may have a recurrence of an issue or a worsening of a condition.
The DON stated, IDT meeting should have developed individualized resident centered care plans and interventions.
The DON stated, these interventions should have been implemented and reevaluated for effectiveness.
The DON stated that Resident 1's care plan was not specific and individualized due to lack of recommendation from the IDT meeting.
The DON stated that Resident 1's adult brief adjustment issue would not be resolved unless specific and resident centered interventions were implemented.
The DON stated it might lead to a delay in delivery of care and services.During a review of the facility's Policy and Procedure(P&P) titled, Care Planning-Interdisciplinary Team, undated, the P&P indicated, Policy Statement: Our facility's Care Planning/Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan for each resident.During a review of the facility's Policy and Procedure(P&P) titled, Comprehensive Care Plan, undated, the P&P indicated, Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment.
Policy Explanation and Compliance Guidelines: 1.
Person-centered care means focusing on the resident as the locus of control and supporting the resident in making their own choices and having control over their daily lives. 2.
The care planning process will include an assessment of the resident's strengths and needs and will incorporate the resident's personal and cultural preferences in developing goals of care. 7.
The comprehensive care plan will include measurable objectives and timeframes to meet the resident's needs as identified in the resident's comprehensive assessment.
The objectives will be utilized to monitor the resident's progress.
Alternative interventions will be documented, as needed.
Facility ID: