Beachside Post Acute
BEACHSIDE POST ACUTE in LONG BEACH, CA — inspection on May 29, 2026.
Found 12 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 88's admission Record, the admission Record indicated Resident 88 was admitted to the facility on [DATE] with diagnoses including depression (a serious mood disorder that causes a persistent feeling of sadness and a loss of interest in activities) and severe chronic kidney disease (progressive damage and loss of kidney function in the kidneys).During a review of Resident 88's MDS dated [DATE], the MDS indicated Resident 88's cognition was intact.
The MDS indicated Resident 88 required supervision (helper provides verbal cues or touching assistance) with ADLs.During a review of Resident 88's H&P dated 2/21/2026, the H&P indicated Resident 88 has the capacity to understand and make decisions.
During an interview on 5/28/2026 at 7:27 a.m., with Resident 33, the NOMNC form was provided, and Resident 33 denied that the signature on the form was his and denied having seen or ever being presented with the NOMNC form.During a concurrent interview and record review on 5/28/2026 at 7:41 a.m. with the Business Office Manager (BOM), the NOMNC forms for Residents 33 and 88 were reviewed.
The BOM stated she had signed the NOMNC forms for Residents 33 and 88, but she acknowledged she should not have signed them because she was not the resident or the resident representative.
The BOM stated signing the forms without the residents' consent or knowledge could cause the residents to feel a loss of trust and would affect their rights.
During an interview on 5/29/2026 at 11:03 a.m. with the Director of Nursing (DON), the DON stated the NOMNC forms should only be signed by the resident or the resident representative, not the BOM, because having the BOM sign them could result in a lack of trust in the staff.During a review of the facility's policy and procedure (P&P) titled, Medicare Beneficiary Notice, revised 8/2018, the P&P indicated, It is the facility's policy to adhere to Medicare guidelines and to provide proper and timely notices to Medicare Beneficiaries when skilled services will end.
The P&P also indicated, It is the facility's responsibility to ensure forms are completed as per Medicare guidelines and given to the resident and/or representative timely.
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bed-hold policies.
observation, interview and record review the facility failed to ensure the Ombudsman (an advocate for
of three sampled residents (Resident10) who was hospitalized on [DATE].This failure violated the rights of Resident 10 by not notifying the ombudsman to ensure Resident 10's discharge was safe and appropriate.Findings:During a review of Resident 10's admission Record, the admission Record indicated Resident 10 was admitted to the facility on [DATE] and readmitted on [DATE]. Resident 10 had a diagnoses including diabetes mellitus (DM-a disorder characterized by difficulty in blood sugar control and poor wound healing), muscle weakness and dementia.During a review of Resident 10's H&P, dated 1/27/26, the H&P indicated, Resident 10 did not have the capacity to understand and make decisions.During a review of Resident 10's Minimum Data Set ( MDS-resident assessment tool) dated 5/4/26, the MDS indicated, Resident 10 had severe cognitive (ability to think, understand, learn, and remember) impairment.
The MDS indicated, Resident 10 was totally dependent ( helper does all the work), with activities of daily living (ADLs- activities such as bathing, dressing and toileting a person performs daily)During a review of Resident 10's Physicians Discharge summary dated [DATE], the Physicians Discharge Summary indicated, Resident 10 was discharged to the general acute care hospital (GACH) on 3/9/26 for a low hemoglobin ( when the body lacks healthy red blood cells).During a concurrent interview and record review on 5/28/2026 at 10:03 a.m. with the Assistant Director of Nursing (ADON), Resident 10's Notice of Transfer/discharge date d 3/9/2026 was reviewed.
The Notice of Transfer/Discharge indicated the Ombudsman was notified of Resident 10's discharge on [DATE].
The ADON stated that when residents were transferred to the GACH, the Ombudsman should be notified the same day.
The ADON stated the Ombudsman was informed so they were aware the resident was no longer in the care of the facility and to ensure the discharge was appropriate.
The ADON stated the Ombudsman served as the residents' advocate.
During an interview on 5/29/2026 at 1:03 p.m. with the Director of Nursing (DON), the DON stated the Ombudsman should be notified immediately after a resident was transferred to the GACH to inform the Ombudsman that the resident was no longer in the facility and to ensure the discharge was appropriate to meet the resident's needsDuring a review of the facility's policy and procedure (P&P) titled Discharge Process dated 10/2017, the P&P indicated, The facility will send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman and record the reasons for the transfer or discharge in the resident's medical record will include the following, the reason for transfer or discharge, the effective date of transfer or discharge and the location to which the resident is to be transferred or discharged as soon as practicable when an immediate transfer or discharge is required by the resident's urgent medical needs.
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
review of the facility's policy and procedure (P&P) titled, PASRR (Preadmission Screening Resident
the DHCS Contractor for a Level II prescreening call.
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monitored, assisted with, and provided for those residents who are unable to perform Activities of
not limited to:
a.
Bathing/ Showering and or personal hygiene b.
Eating/Feeding c.
Mouth Care d.
Dressing e.
Grooming f.
Toileting g.
Transferring bed/Chair h.
Repositioning i.
Walking/Ambulation
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
verify tube placement by forcefully injecting air into tube while listening with stethoscope to the
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
meet the behavioral health needs of residents.
interview and record review, the facility failed to ensure staff were informed of and individualized,
responding to the effects of all types of trauma for residents with Post-Traumatic Stress Disorder (PTSD a mental health condition that can develop after experiencing or witnessing a traumatic event) for two of three residents reviewed for PTSD (Residents 28 and 66).This failure resulted in staff not being aware of each resident's PTSD triggers and increased the risk of unnecessary stress or escalation for the residents.Findings:During a review of Resident 28's admission Record, the admission Record indicated Resident 28 was admitted to the facility on [DATE] and readmitted on [DATE].
The admission Record indicated Resident 28 with diagnoses including PTSD and dementia (a progressive state of decline in mental abilities).During a review of Resident 28's Care Plan titled, PTSD, dated 12/22/2025, the Care Plan interventions indicated to beware of the triggers that cause the resident to escalate and the triggers included being touched by male personnel.During a review of Resident 28's Minimum Data Set (MDS- a resident assessment tool) dated 3/23/2026, the MDS indicated Resident 28's cognition (ability to think, understand, learn, and remember) was intact.
The MDS indicated Resident 28 required maximal (helper does more than half the effort) assistance with activities of daily living (ADLs- activities such as bathing, dressing, and toileting a person performs daily).During a review of Resident 66's admission Record, the admission Record indicated Resident 66 was admitted to the facility on [DATE] with diagnoses including PTSD and rheumatoid arthritis (a chronic progressive disease-causing inflammation in the joints and resulting in painful deformity and immobility).During a review of Resident 66's Care Plan titled, PTSD, dated 1/29/2026, the Care Plan interventions indicated to beware of the triggers that cause the resident to escalate and the triggers included loud noises and yelling.During a review of Resident 66's MDS dated [DATE], the MDS indicated Resident 66's cognition was intact.
The MDS indicated Resident 66 required maximal (helper does more than half the effort) assistance with ADLs.
During an interview on 5/28/2026 at 9:09 a.m., with Resident 66, Resident 66 stated he has been diagnosed with PTSD, and his triggers include loud noises and fighting people.
During an interview on 5/28/2026 at 9:35 a.m. with Certified Nurse Assistant (CNA) 4, CNA 4 stated she had not been made aware of which residents had PTSD or what their triggers were unless the residents told her themselves. CNA 4 stated she knew about Resident 66's PTSD and triggers because he informed her when she cared for him. CNA 4 stated it was important for staff to be informed about residents with PTSD and their triggers so they could provide proper care.
During an interview on 5/28/2026 at 10:18 a.m. with CNA 3, CNA 3 stated she had not been aware that Resident 28 had PTSD or what his triggers were. CNA 3 stated she should have been informed of Resident 28's PTSD and triggers so she could better care for him and know what to watch for in case something happened.
During an interview on 5/28/2026 at 11:12 a.m. with Registered Nurse Supervisor (RNS) 1, RNS 1 stated it was important for CNAs to be aware of residents with PTSD and their triggers so they would not trigger the residents and so the residents would feel safe and comfortable in the facility.
During an interview on 5/29/2026 at 11:03 a.m., with the Director of Nursing (DON), the DON stated all staff needed to know which residents had PTSD and what their triggers were so they could avoid triggering the residents and causing them additional stressDuring a review of the facility's policy and procedure (P&P) titled, Treatment and Services for Mental Disorders, Psychosocial Adjustment Difficulty, Trauma, and/or Post-Traumatic Stress Disorder, revised 10/2017, the P&P indicated, Residents admitted with a mental or psychosocial adjustment difficulty, or who have a history of trauma and/or PTSD, will receive appropriate person-centered and individualized treatment and services to meet their assessed needs.
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
interview on 5/29/2026 at 9:53 a.m. with the Director of Staff Development (DSD), the DSD stated the
could cause pain and discomfort, could break the skin if the residents scratched themselves, and
(DON), the DON stated regardless of the payor source, the facility was responsible for providing care to the residents.
The DON stated it was the SSD's responsibility to inform administration that the facility needed to pay for Residents 55 and 67 to have their toenails trimmed.
The DON stated there was a possibility that Residents 55 and 67 could scratch themselves and develop a skin tear that could lead to an infection.
During an interview on 5/29/2026 at 11:14 a.m. with the Administrator (ADM), the ADM stated the SSD was responsible for ensuring residents were seen by podiatry.
The ADM stated the facility was responsible for providing the care and services Residents 55 and 67 needed.
The ADM stated Residents 55 and 67 should have been seen by podiatry on 4/28/2026.During a review of the facilities policy and procedure (P&P) titled, Social Services Program dated 1/2027, the P&P indicated, Social services is responsible for making referrals to community resources as necessary and appropriate and maintaining appropriate documentation of referrals, when needed.During a review of the facilities policy and procedure (P&P) titled, Activities of Daily Living, and Scope of Services, dated 6/2022, the P&P indicated, It is the policy of the facility that each resident receive, and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being consistent with the resident's comprehensive assessment and plan of care.Staff will ensure that Activities of Daily Living are monitored, assisted with, and provided for those residents who are unable to perform Activities of Daily Living.
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
would not know whether the medications administered through the GT entered the correct route, and
verify tube placement by forcefully injecting air into tube while listening with stethoscope to the
placement is verified, then administer the medications.2.During a review of Resident 50's admission Record, the admission Record indicated Resident 50 was admitted to the facility on [DATE] with diagnoses including hypertension (HTN- high blood pressure), cardiac murmur (a whooshing sounds made by rapid, choppy blood flow through the heart), and muscle weakness.During a review of Resident 50's Order Summary Report dated 2/21/2025, the Order Summary Report indicated an order of metoprolol tartrate oral tablet , give one tablet by mouth two times a day for HTN , hold for systolic blood pressure (SBP- measures the pressure of the blood as it pushes against the artery walls when the heart beats) less than 110 millimeters of mercury ( mmHg-unit of measurement used to record blood pressure) and pulse rate less than 60 beats per minute ( bpm).During a review of Resident 50's MDS dated [DATE], the MDS indicated Resident 50 had an intact cognition and required set up or clean-up assistance (helper sets up or cleans up as resident completes the activity) with bathing, dressing, toileting hygiene and personal hygiene.During a concurrent medication pass observation and interview on 5/27/2026 at 9:20 a.m. with LVN 3 in Resident 50's room, LVN 3 obtained Resident 50's blood pressure. LVN 3 stated she only takes a resident's blood pressure. LVN 3 stated she will take the pulse rate only when required by the physician's medication parameters. LVN 3 then administered one tablet of metoprolol tartrate 50ˆmilligram (mg unit of measurement) to Resident 50 without assessing Resident 50's pulse rate.During a concurrent interview and record review on 5/27/2026 at 9:28 a.m., with LVN 3, Resident 50's physician order for Metoprolol was reviewed. LVN 3 stated the order included a parameter to hold Metoprolol if the pulse rate was less than 60 beats per minute, and she acknowledged she did not check Resident 50's pulse rate. LVN 3 stated if Resident 50's pulse rate was already low, administering Metoprolol could slow it further and cause dizziness or fainting.
She stated a low pulse rate meant a heart rate or pulse rate below 60 beats per minute.During an interview on 5/28/2026 at 1:10 p.m., with LVN 3, LVN 3 stated she should have taken the complete set of vital signs, which include body temperature, pulse rate, blood pressure, and respiratory rate (breaths per minute).
She stated Metoprolol lowers the pulse rate and decreases the heart's pumping action. LVN 3 stated not assessing Resident 50's pulse rate before administering Metoprolol could cause Resident 50 to become dizzy, tired, faint, and possibly increase her risk of hospitalization.
During an interview on 5/28/2026 at 4:59 p.m., with the Director of Nursing (DON), the DON stated the licensed nurse should check the medication instructions, including any hold parameters.
The DON stated if Resident 50's pulse rate was not checked before administering Metoprolol, the resident's pulse could drop very low, which could cause dizziness, bradycardia (a heart rate below 60 beats per minute), and syncope (fainting due to a sudden drop in blood pressure or heart rate that temporarily reduces blood flow).During a review of facility's P&P titled, Medication Administration, revised 4/2025, the P&P indicated Medications must be administered in accordance with the physician orders and the licensed nurse should check vital signs if necessary.Cross reference F-F693
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
nonˆcontrolled prescription (medications that requires a doctor's prescription) medications on
medication storage room with LVN 2, an expired hemorrhoidal ointment with an expiration date of
stated the expired hemorrhoidal ointment would not be effective because its potency decreased when used on residents.
During an interview on 5/29/2026 at 11:09 a.m., with the DON, the DON stated storing an expired hemorrhoidal ointment created a risk it could be used on residents and would not be effective.
The DON stated that using an expired hemorrhoidal ointment on a resident could cause side effects (any effect of medication or treatment that happens in addition to its main and intended goal), such as diarrhea (loose stool) or constipation (hard stool).During a review of facility's policy and procedure (P&P) titled, Disposal of Medications and Medication-Related Supplies, revised 1/2025, the P&P indicated discontinued medications not returned to the pharmacy are destroyed in accordance with Medication Destruction policy.
The P&P indicated expired medications, and medications discontinued by a prescriber are marked as discontinued or stored in a separate location and later destroyed.
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nutrition service.
were competent in reading test strips (a small, treated piece of paper or plastic designed to interact
used for testing chlorine (deep cleaning and sanitizing agent) in the dishwashing machine.This failure had the potential to put residents at risk for food borne illness (any illness resulting from eating contaminated/spoiled foods) due to inability to read and interpret the test strips used for testing the correct range of sanitizer solutions for the dishwashing machine.Findings:During a concurrent observation and interview with Dietary Aide (DA)1, DA 1 demonstrated on how to check the amount of chlorine in the dishwashing machine after the final rinse by dipping a test strip in the water and comparing the test strip to the color chart of the test strip container. DA 1 stated the strip read 50 parts per million (PPM- unit of measurement) and the kitchen staff follows 50-200 PPM for chlorine test.During a review of kitchen's Dish Machine Temperature Log, (document that records the temperature of the dishwasher machine during wash and rinse cycle, and reading obtained from test strip used to check chlorine) dated 5/2026, the Dish Machine Temperature Log indicated the following readings ranging from 58, 59, 60, 68, 69 and 70 PPM on various dates taken during breakfast and lunch.During a concurrent interview and record review on 5/27/2026 at 1:43 p.m. with DA 1, the kitchen's Dish Machine Temperature Log dated 5/2026 was reviewed. DA 1 stated that readings of 58, 59, 60, 68, and 70 PPM were not correct interpretations because the chlorine color chart only indicated a range of 50-100 PPM.
She stated she had estimated the readings of 58, 59, 60, and 70 PPM because someone had instructed her to read them that way. DA 1 stated the color chart did not provide readings between 50 and 100 PPM.
She stated not reading the log according to the color chart could place residents at risk for foodˆborne illness because chlorine was used to kill germs on dishes and pots.During a concurrent interview and record review on 5/28/2026 at 8:29 a.m. with DA 2, the kitchen's Dish Machine Temperature Log dated 5/2026 was reviewed. DA 2 stated she checked the chlorine level in the dishwashing machine before starting to wash dishes to ensure the proper amount of chlorine would sanitize and clean the dishes.
She stated the kitchen did not have a device that provided a specific numerical chlorine reading. DA 2 stated she approximated the chlorine level based on how the test strip became darker or lighter when reading levels such as 70, 69, 60, and 58 ppm.
She stated the normal chlorine range in the dish machine was 50-100 ppm. DA 2 stated she had not been reading the chlorine test strips correctly and that residents could get sick if the strips were not interpreted properly.
During an interview on 5/28/2026 at 1:23 p.m., with the Dietary Supervisor (DS), DS stated someone had told DA 1 and DA 2 to interpret and read the test strips by estimating the readings.
The DS stated reading and interpreting chlorine test strips incorrectly could pose a hazard to residents and could lead to foodˆborne illness.During a review of facility's policy and procedure (P&P) titled, DishWashing, undated, the P&P indicated the chlorine should read 50-100 ppm on dish surface in final rinse.
The facility failed to:1.
Ensure open
bags.This failure had the potential to place residents at risk for developing food borne illnesses (any illness resulting from eating contaminated/spoiled foods) and could reduce the quality of food served in the facility.Findings:During a concurrent initial kitchen observation and interview on 5/26/2026 at 8:20 a.m. with the Dietary Supervisor (DS), an open plastic bag containing frozen pizza dough, an open blue bag containing frozen corn inside a brown box, an open bag of frozen potato puffs, and an open bag of frozen hotdogs were stored in the reachˆin freezer.
Crystalized ice was observed on the potato puffs and hotdogs.
The DS stated the kitchen staff should have tied open plastic bags of frozen food items or stored them in sealed plastic bags or containers.
The DS stated freezer burn (food drying out and losing flavor due to exposure to cold, dry air) was present on the frozen hotdogs because staff left the bag open, and the food should have been stored in a sealed bag.
During an interview on 5/28/2026 at 8:29 a.m. with Dietary Aide (DA) 2, DA 2 stated open frozen items should be stored in a Ziplock bag or the plastic bag should be tied with a knot so ice crystals would not form on the frozen food. DA 2 stated the formed ice crystals could contaminate frozen food and could lead to foodˆborne illness.
During an interview on 5/28/2026 at 1:23 p.m. with the Dietary Supervisor (DS), the DS stated open frozen items not stored in airtight, sealed container could cause food-borne illness and decrease the quality of food served to the residents.
During an interview on 5/27/2026 at 1:54 p.m. with the Registered Dietitian (RD), the RD stated improper storage of frozen food items could decrease the flavor and quality of food.During a review of facility's policy and procedure(P&P) titled, Procedure for Freezer Storage, dated 2023, the P&P indicated frozen foods will be stored in airtight moisture -resistant wrapper such as a plastic bag or freezer paper to prevent freezer burn.
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During a medication pass observation on 5/26/2026 at 4:00 p.m. with LVN 1, LVN 1 did not perform hand hygiene before taking Resident 20's vital signs (VS-measure the basic functions of the body which include temperature, blood pressure, pulse and respiratory [breathing] rate), before preparing and crushing medications, or before administering Resident 20's medications via the gastrostomy tube. LVN 1 did not wear gloves or a protective gown before taking Resident 20's vital signs or administering medications through the GT.
After administering the medications, LVN 1 wiped his hands with Clorox wipes (preˆmoistened disposable wipes used to clean and kill germs on surfaces).
During an interview on 5/26/2026 at 4:50 p.m. with LVN 1, LVN 1 stated he had forgotten to perform hand hygiene. He stated he had not practiced hand hygiene at the start of the medication pass, so he decided to continue not performing hand hygiene while administering medications to Resident 20. LVN 1 stated that not practicing hand hygiene could place residents at risk for contracting an infection due to contaminated staff hands.
During an interview on 5/28/2026 at 1:10 p.m. with LVN 3, LVN 3 stated licensed nurses should wear gloves, a mask, and a protective gown when a resident was on EBP. LVN 3 stated staff should not use Clorox wipes for hand hygiene because they could cause chemical burns and were intended only for use on surfaces. LVN 3 stated staff practiced hand hygiene by using alcohol based hand rub (ABHR-liquid, gel used to quickly kill microorganism on hands) or by washing their hands with soap and water.
During an interview on 5/28/2026 at 11:27 a.m. with the Infection Preventionist Nurse (IPN), the IPN stated licensed nurses were expected to perform hand hygiene before administering medications and when switching from one task to another during the medication pass.
The IPN stated Resident 20 was on EBP because of the gastrostomy tube, and LVN 1 should have practiced hand hygiene and worn personal protective equipment (PPE) before administering medications to Resident 20.
The IPN stated staff used ABHR or soap and water for hand hygiene.
The IPN stated LVN 1 could spread infection among staff and residents by not practicing hand hygiene.
During an interview on 5/28/2026 at 4:59 p.m. with the DON, the DON stated LVN 1's failure to perform hand hygiene and wear Personal Protective Equipment (PPE- equipment used to prevent or minimize exposure to hazards) during the medication pass could spread infection among residents and staff due to contamination from his hands.
During a review of facility's P&P titled, Medication Administration via Enteral Tube, revised 4/2017, the P&P indicated the licensed nurse should wash hands and wear gloves, then check placement of GT and administer medications via GT.
During a review of facility's P&P titled, Enhanced Standard Precautions, revised 5/2024, the P&P indicated, EBP is an approach of targeted gown and glove use during high contact resident care activities( hands-on task that involve close proximity to a resident) to reduce transmission of multidrug-resistant organism (MDRO- type of germ that can cause an infection that is hard to treat and had developed resistance to a lot of infection).
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Beachside Post Acute 3294 Santa Fe Avenue Long Beach, CA 90810
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.