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Complaint Investigation

Beachside Nursing Center

Inspection Date: August 29, 2025
Total Violations 1
Facility ID 555027
Location HUNTINGTON BEACH, CA
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Inspection Findings

F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for Minimal Harm

F 0656 Level of Harm - Potential for minimal harm Residents Affected - Some

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, medical record review, and facility P&P review, the facility failed to develop and implement the comprehensive person-centered plan of care to reflect the change of condition for one of three sampled residents (Resident 1). * There was no care plan developed for Resident 1's preference to not have any male CNAs provide showers or change the resident when soiled. This failure posed the risk of not providing appropriate, consistent, and individualized care to Resident 1.Findings: Review of the facility's P&P titled Abuse: Prevention of and Prohibition Against revised 12/2023 showed in protection section to review and revise the resident care plan if the resident's medical, nursing, physical, mental, or psychosocial needs or preferences change as a result of an incident. Closed medical record review for Resident 1 was initiated on 8/29/25. Resident 1 was admitted to the facility on [DATE REDACTED]. Review of Resident 1's MDS assessment dated [DATE REDACTED], showed the resident had a BIMS score of 12, indicating resident had moderate cognitive impairment. Review of Resident 1's eInteract Change in Condition Evaluation dated 8/15/25 at 0907 hours, showed the resident expressed not being comfortable with a male CNA nurse to provide showers or change the resident's undergarment when soiled. Review of Resident 1's plan of care failed to show a care plan was developed to reflect the change of condition to implement person-centered plan of care for the resident. On 8/29/25 at 1115 hours, an interview and concurrent medical record review was conducted with

the SSD. The SSD verified Resident 1's plan of care failed to show a care plan was develop for the resident's change of condition after expression to the staff of not being comfortable with a male CNA nurse to provide showers or change the resident's undergarment when soiled. On 8/29/25 at 1156 hours, an

interview and concurrent closed medical record review was conducted with RN 1. RN 1 verified Resident 1's plan of care failed to show a care plan was develop for the resident's change of condition after expression to the staff of not being comfortable with a male CNA to nurse provide showers or change the resident's undergarment when soiled. RN 1 further stated a care plan should have been initiated for Resident 1 with resident's change of condition.

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:

📋 Inspection Summary

BEACHSIDE NURSING CENTER in HUNTINGTON BEACH, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HUNTINGTON BEACH, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BEACHSIDE NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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