Inspection Reports for Oakmont of Torrance

The visit was an unannounced Case Management follow-up on an incident report submitted for three residents who experienced falls or fractures.

The Licensing Program Analyst inspected the facility, interviewed the residents involved, and reviewed relevant documents. No deficiencies or health and safety concerns were observed or cited during the visit.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.

The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, and records including residents' service files, staff personnel files, and medication administration records were maintained in order. No citations were issued during this visit.

An unannounced Case Management Visit was conducted to deliver an Immediate Exclusion Letter for a staff member due to conduct inimical.

No deficiencies were observed or cited during the visit. An Immediate Exclusion Letter was delivered for Daniel Castro, who is prohibited from contact with clients and presence at the facility.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-09-25 alleging that staff did not adequately assist a resident with repositioning.

The investigation found that the resident requiring repositioning had documented pressure ulcers and care plans in place, staff were trained and reported assisting residents every two hours, and residents interviewed denied sustaining pressure injuries. The Licensing Program Analyst was unable to find sufficient evidence to substantiate the allegation, resulting in an unsubstantiated finding.

The complaint alleged that staff did not adequately assist a resident with repositioning, leading to redness on the sacrum and a blister on the heel. The allegation was unsubstantiated after review of records, staff interviews, resident interviews, and observations.

The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff did not follow advanced directives and requests regarding resuscitative measures.

The investigation found that resident R1 had a Do Not Attempt Resuscitation (DNAR) order on file, and all interviewed staff confirmed they followed this directive. The Nurse Practitioner confirmed the POLST was consistent with the resident's and family's wishes. No evidence was found to support the allegation, and no deficiencies were cited.

The complaint alleged that staff did not perform Cardiopulmonary Resuscitation (CPR) or use an Automated External Defibrillator (AED) when a resident was found without a pulse and not breathing. The allegation was unsubstantiated due to lack of evidence.

An unannounced case management visit was conducted due to two Special Incident Reports regarding resident falls submitted to Community Care Licensing on 08/30/2024.

The Licensing Program Analyst toured the facility and reviewed relevant resident records, observing that all areas were clean and free of hazards. No deficiencies were observed or cited during the visit.

The visit was triggered by two resident falls: Resident R1 fell on 08/25/2024 resulting in an injury requiring stitches, and Resident R2 fell on 08/26/2024 resulting in a fracture requiring surgery. Both residents' care plans and assessments were reviewed, with no history of falls or indications of fall risk noted for Resident R1, and Resident R2 was found to be independent with no prior falls.

The visit was an unannounced complaint investigation triggered by allegations that staff did not provide adequate food service and that staff were untrained.

The investigation included interviews with staff and residents, review of training materials and policies, and observation of meal service. The findings showed that staff were properly trained, cell phone use policies were in place and followed, and meal service wait times were shorter than alleged. No deficiencies were observed or cited, and the allegations were unsubstantiated due to lack of evidence.

The complaint alleged untrained staff and inadequate food service, including long wait times and cold food. The investigation found no evidence to support these allegations, with most residents and staff confirming proper training and acceptable meal service times.

The inspection was an unannounced annual required visit using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be sanitary, appropriately furnished, and in compliance with Title 22 regulations. No deficiencies or citations were observed or issued during the inspection.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2022-11-28 regarding resident falls, timely medical attention, and pressure injuries at Oakmont of Torrance.

The investigation found no evidence to support the allegations of neglect or lack of care related to a resident fall, failure to seek timely medical attention, or development of multiple pressure injuries. The allegations were determined to be unsubstantiated based on interviews, record reviews, and observations.

The complaint included three allegations: 1) Resident sustained a fall while in care; 2) Staff did not seek timely medical attention for a resident; 3) Resident developed multiple pressure injuries while in care. The investigation included interviews with staff, residents, family representatives, and review of medical and hospice records. All allegations were found unsubstantiated.

The inspection visit was an unannounced complaint investigation conducted in response to allegations received on 2024-02-06 regarding inadequate resident care including grooming, clothing cleanliness, bed linens, and bathing assistance.

Based on interviews, observations, and records reviewed, there was insufficient evidence to substantiate any of the allegations. The facility was found to be operational and in good repair, and residents were reported to receive appropriate grooming, clean clothing, clean bed linens, and bathing assistance as needed.

The complaint investigation addressed allegations that facility staff did not assist residents with grooming, ensure residents wore clean clothing, ensure residents had clean bed linens, and assist residents with bathing as needed. After interviews with staff and residents, and observations, all allegations were found to be unsubstantiated due to lack of sufficient evidence.

The visit was an unannounced complaint investigation triggered by allegations that a resident wandered away from the facility due to lack of supervision resulting in hypothermia, and that staff did not notify police of the missing resident.

The investigation substantiated the allegations of neglect/lack of supervision resulting in the resident wandering away and suffering hypothermia, and failure of staff to notify police in a timely manner. Deficiencies were cited related to observation of residents and reporting requirements, with a civil penalty assessed.

The complaint investigation was substantiated. Resident #1, diagnosed with dementia and a history of wandering, was found outside the facility after wandering away due to lack of supervision. Staff delayed notifying others and failed to notify police promptly. The resident was hospitalized for severe hypothermia and discharged pending Memory Care Unit availability.

The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that facility staff did not issue a proper refund and did not safeguard resident's property.

The investigation substantiated the allegation that the facility staff did not issue a proper refund to resident #1 who did not move into the facility, citing failure to adhere to the admission agreement regarding pre-admission fees. The allegation that the facility did not safeguard resident's property was found unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was substantiated for the allegation that facility staff did not issue a proper refund. The allegation that the facility did not safeguard resident's property was unsubstantiated.

An unannounced annual required inspection was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for the facility.

The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies or citations were observed or issued during the inspection.

An unannounced complaint investigation visit was conducted in response to allegations received on 07/12/2023 regarding staff not affording resident dignity, not responding timely to resident calls, not waking residents for breakfast, and a resident not receiving a copy of their care plan.

The investigation found no sufficient evidence to support any of the allegations. Staff and residents denied the allegations, and document reviews and interviews confirmed compliance. All allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not affording resident dignity, not responding timely to calls, not waking residents for breakfast, and failure to provide a copy of the care plan. Interviews with staff (S1-S8) and residents (R1-R7), review of call logs, resident files, and policies found no evidence to support the allegations.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not answer a resident's call button in a timely manner.

The investigation found that the resident did activate the call button and staff responded, but the resident declined assistance from one staff member due to gender preference. Assistance was provided by another staff member. Interviews and call logs indicated staff responded promptly and residents reported no issues with timely response. The allegation was unsubstantiated due to insufficient evidence.

The complaint alleged that staff did not answer a resident's call button in a timely manner. The investigation included interviews with staff and residents, review of call logs, and observation. The allegation was found unsubstantiated.

The visit was an unannounced case management incident investigation following a report that a resident left the facility and was found outside, currently hospitalized.

The report documents that a resident left the facility and was found outside, currently receiving hospital care. The facility administrator will follow up with the Licensing Program Analyst and provide requested documents.

The visit was complaint-related due to an incident where a resident left the facility unsupervised. The complaint is under follow-up with the administrator providing requested documentation.

An unannounced Case Management - Incident visit was conducted to evaluate the facility and investigate an incident.

The facility was observed to be operational and in good repair with no obstructions in passageways. Residents were engaged in activities and dining. No citations were issued during this visit. Further investigation and analysis of documentation were needed.

The visit was an unannounced Case Management Visit to amend the allegations for Complaint Investigation Report LIC9099 and LIC9099-Cs dated 12/22/2021, related to the facility's closed facility #198320078.

The facility was found clear of COVID-19 infection, with proper screening and sanitizing measures observed. No deficiencies were cited during this visit.

The visit was conducted to amend allegations from a prior complaint investigation report dated 12/22/2021. No deficiencies were cited during this visit.

A pre-licensing inspection was conducted following an application submitted on 2021-10-21 for a Residential Care Facility for the Elderly with a requested capacity of 126 individuals.

The facility was found to be in substantial compliance with no corrections needed. The inspection covered structure, appliances, toxins, water temperature, medications, resident and staff files, emergency preparedness, and fire safety.