Vermont Healthcare Center
VERMONT HEALTHCARE CENTER in TORRANCE, CA — inspection on March 14, 2025.
Found 4 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 Resident 20's Minimum Data Set ({MDS}- a resident assessment tool) dated 1/3/2025, the MDS indicated Resident 20's cognition (ability to think, understand, learn, and remember) was intact and was dependent (helper does all the effort) with toileting and bathing.
During a review of Resident 20's care plan initiated 12/26/2024, the care plan indicated Resident 20 has a communication deficit, hearing impaired with goals that included.
During a review of Resident 20's Psychosocial Note, dated 1/28/2025 at 2:29 p.m., the Psychosocial Note indicated Resident 20 went to the Social Services Director (SSD) and reported her hearing aids were missing.
During an interview on 3/11/2025 at 10:26 a.m., with Resident 20, Resident 20 stated her hearing aides were missing and feels irritated because others must repeat themselves when speaking with her. Resident 20 stated she told the staff, but no one followed up and she would like to have hearing aids.
During a concurrent interview and record review on 3/14/2025 at 7:50 a.m., with the SSD, the SSD stated he spoke with Resident 20 about her hearing aids but did not follow up.
The SSD stated he should have followed up with Resident 20's hearing aids and made an appointment for her to be seen.
During an interview on 3/14/2025 at 11:14 a.m., with the Director of Nursing (DON), the DON stated hearing aides are important to have because not having them can affect the delivery of care and makes it hard for the resident to communicate.
During an interview on 3/14/2025 at 1:19 p.m., with the Administrator (ADM), the ADM stated a resident not having their hearing aides can affect their dignity and it would benefit Resident 20 to have them so others would not have to constantly repeat themselves when speaking to her.
056433
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056433 B.
Wing 03/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Vermont Healthcare Center 22035 S.
Vermont Avenue Torrance, CA 90502
During a concurrent observation and interview on 3/12/25 at 11:47 a.m., with Licensed Vocational Nurse (LVN 6) in the SAU, LVN 6 stated the SAU had 26 residents in house on 3/12/25 and 12 of 26 residents were assigned to LVN 6. LVN 6 stated 3 out of 12 assigned residents had not receive their morning medications at 11:47 a.m.
During an interview on 3/12/25 at 11:58 a.m., with LVN 6 outside of Resident [TRUNCATED]
056433
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056433 B.
Wing 03/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Vermont Healthcare Center 22035 S.
Vermont Avenue Torrance, CA 90502
During a review of Resident 361's Minimum Data Set (MDS- a resident assessment tool) dated 3/4/2025, the MDS indicated Resident 361's cognition (ability to think, understand, learn, and remember) was intact and required substantial/maximal assistance (helper does more than half the effort) with toileting, bathing, and dressing.
During a review of Resident 361's Physician Order Summary Report, the Physician Order Summary included, but not limited to the following medications:
056433
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056433 B.
Wing 03/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Vermont Healthcare Center 22035 S.
Vermont Avenue Torrance, CA 90502
During a review of Resident 10's ({MDS}- a resident assessment tool) the MDS dated [DATE], indicated Resident 10 is cognitively intact.
The MDS also indicated, Resident 10 needs substantial assistance (helper does more than half the work) with activities of daily living (ADL's - activities such as toileting, bathing and dressing, a person performs daily).
During review of Resident 10's Order summary Report, dated 3/14/25, the order summary report indicated, Resident 10 was on a finely chopped mechanical soft texture, thin consistency until her dentures are available.
The order summary report also indicated Resident 10 had orders for dental evaluation and follow up treatment.
During a review of Resident 10's care plan titled Dental Care dated 3/10/2022 last revised 8/13/2024 indicated Resident 10 had the potential for decreased food intake related to dental problem, Resident 10 has all natural teeth missing with full upper and lower dentures and is at risk for difficulty chewing and weight loss.
Intervention to monitor dental condition & refer for dental evaluation if indicated.
During an observation and interview on 3/11/2025 at 10:10 a.m. in Resident 10's room, Resident 10 was missing her bottom dentures. Resident 10 stated I don't like the way food tastes without my bottom dentures.
During a concurrent interview on 3/14/2025 at 7:50 a.m. and record review of Residents 10's dental records with the Social Services Director (SSD) , The SSD stated that Resident 10 was seen by the dentist on 2/3/2025 for evaluation for full upper and lower dentures.
The SSD stated from what he could see there was no follow up appointment.
The facility must provide Resident 10 with bottom dentures.
The SSD stated Resident 10's quality of life can be affected with missing teeth.
056433
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 056433 B.
Wing 03/14/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Vermont Healthcare Center 22035 S.
Vermont Avenue Torrance, CA 90502