Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Providence Little Co Of Mary Transitional Care Ctr during CMS and state inspections, most recent first.
A resident admitted for rehab with failure to thrive, a right renal mass, and chronic diastolic CHF experienced a prolonged stay due to profound debility, need for 24/7 assistance, and inability to safely return home. An IDT conference documented that the resident was fully incontinent and required maximal assistance with ADLs and transfers. Case management emailed the resident’s responsible party proposing a discharge home with home health, and the responsible party objected, stating that a 30‑day discharge notice was required. The resident was discharged earlier than the proposed date, and interviews with the responsible party, SW, and DON confirmed that no 30‑day written discharge notice was provided and that facility policy did not address this requirement.
A resident with multiple medical conditions, profound debility, incontinence, and need for 24/7 assistance was known by staff to uncover themself, yet no specific interventions were added to the care plan to address this behavior. The resident’s responsible party observed the resident’s private areas exposed in a hallway, and staff referenced a “diaper-free clinic” approach. Review of the care plan audit trail and regulatory documentation confirmed there were no care plan updates for the uncovering behavior, contrary to facility policy requiring timely review and revision of care plans when new needs or changes occur.
A resident with a history of cerebrovascular accident and seizure disorder experienced an unwitnessed fall due to the facility's failure to conduct Morse Fall Risk Assessments every shift as required. The last assessment was completed 17 hours before the fall, missing two assessments. The facility's policy mandates assessments at admission, transfer, each shift, and upon any change in condition.
Failure to Provide Required 30‑Day Written Discharge Notice
Penalty
Summary
The facility failed to provide a required 30‑day written discharge notice to a resident prior to discharge. The resident had been admitted for rehab with diagnoses including failure to thrive, a right renal mass, and chronic diastolic congestive heart failure, and was documented as alert and oriented with adequate insight and judgment at admission. Subsequent hospital medicine notes described a markedly prolonged admission due to profound debility, need for 24/7 assistance, and inability to safely discharge home, with ongoing transitional care and long‑term placement planning. An interdisciplinary team conference documented that the resident was 100% incontinent of bowel and bladder, unable to perform toileting, and required maximum assistance with feeding, grooming, dressing, bathing, and transfers. A social worker note showed that case management emailed the resident’s responsible party proposing a specific discharge date to the responsible party’s home with home health. The responsible party replied by email stating they did not appreciate the discharge date being pushed onto them and that a 30‑day discharge notice needed to be presented to the resident and/or family. The resident was discharged on a date earlier than the proposed discharge date, and interviews with the responsible party, the social worker, and the DON confirmed that no 30‑day written discharge notice was provided to the resident or responsible party. The DON also stated that the facility’s policy did not mention the 30‑day written discharge notice and that they were not aware of this regulation.
Failure to Update Care Plan for Resident Uncovering Behavior Affecting Dignity
Penalty
Summary
The facility failed to update the comprehensive care plan to address a resident’s behavior of uncovering themself, which was necessary to maintain the resident’s dignity and rights. The resident was admitted for rehabilitation with diagnoses including failure to thrive, a right renal mass, and chronic diastolic congestive heart failure, and was documented as alert and oriented with adequate insight and judgment. Subsequent documentation showed the resident had profound debility, required 24/7 assistance, and needed maximum assistance with feeding, grooming, dressing, bathing, transferring, and was 100% incontinent of bowel and bladder and unable to perform toileting. Staff, including the Assistant Nurse Manager, reported that the resident tended to uncover themself at times and acknowledged that interventions and care plan updates should have been in place for this behavior to maintain dignity. The resident’s responsible party reported observing the resident’s private area from the waist down exposed to the public while standing in the hallway outside the resident’s room, and staff informed her that the facility was a “diaper-free clinic” to prevent skin and infection problems. A review of the care plan audit trail from late October through late February showed no updates or interventions addressing the resident’s uncovering behavior during the admission. The Regulatory Accreditation Program Manager confirmed that no intervention or care plan entry was found regarding the resident’s tendency to uncover themself. This was inconsistent with the facility’s policy requiring care plans to be initiated within 24 hours of admission and reviewed and updated whenever there is a new order, change of intervention, or when interventions become ineffective or not applicable.
Failure to Conduct Timely Fall Risk Assessments
Penalty
Summary
The facility failed to ensure that a Morse Fall Risk Assessment was completed every shift for a resident, as required by the facility's policy on Fall Risk Assessment and Prevention. The resident, a female with a history of hemorrhagic cerebrovascular accident and seizure disorder, experienced an unwitnessed fall. The last fall risk assessment was conducted approximately 17 hours before the fall, missing two assessments that should have been completed every eight-hour shift. The Assistant Nurse Manager confirmed that the Morse Fall Risk Assessment was not conducted as per the policy, which mandates assessments at admission, transfer, each shift, and upon any change in condition. The facility's policy outlines that a score of 24 or greater on the Morse Fall Assessment indicates an increased fall risk, necessitating fall prevention actions. The failure to adhere to this policy potentially delayed the identification of the resident's fall risk and the implementation of necessary interventions.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Torrance
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Earlwood | 0.1 mi | — | 30 | 0 |
| Torrance Care Center West, Inc | 0.1 mi | — | 7 | 0 |
| Driftwood Healthcare Center | 0.1 mi | — | 2 | 0 |
| Bay Crest Care Center | 0.6 mi | — | 45 | 1 |
| Del Amo Gardens Care Center | 1 mi | — | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.