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Complaint Investigation

Bixby Towers Post-acute Rehab

May 27, 2026 · Long Beach, CA · 3747 Atlantic Avenue
Citations 2
CMS Rating 2/5
Beds 99
Provider ID 056283
Healthcare Facility
Bixby Towers Post-acute Rehab
Long Beach, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BIXBY TOWERS POST-ACUTE REHAB in LONG BEACH, CA — inspection on May 27, 2026.

Found 2 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

FF0689
Quality of Life and Care Deficiencies

During a review of Resident 2's Minimum Data Set ([MDS] a resident assessment tool) dated 4/8/2026, the MDS indicated Resident 2 was able to make decisions that were reasonable and consistent and he required one to two person assist to complete his activities of daily living ([ADLs] routine tasks/activities such as bathing, dressing, toileting hygiene, and repositioning in bed.

During an interview on 5/26/2026 at 10:50 a.m., Resident 2 stated he goes to hemodialysis (a treatment to cleanse the blood of waste and extra fluids artificially through a machine when the kidney[s] have failed) three times a week and when he comes back from hemodialysis, his bed would always be unlocked. Resident 2 stated three times in the past while waiting for a nurse to help him back to bed, his bed would sway away from him, which worried him and made him feel unsafe.

During an interview on 5/26/2026 at 11:14 a.m., with Certified Nursing Assistant (CNA) 1 and a concurrent observation of Resident 2's bed, Resident 2's bed was noted to be unlocked and moved easily when pushed against it. CNA 1 stated Resident 1's bed should always be locked to make sure Resident 2 was safe.

During an interview on 5/26/2026 at 11:15 a.m., Licensed Vocational Nurse (LVN) 1 stated Resident 2 needed supervision and assistance when transferring from his wheelchair to bed and vice versa, and his bed should be locked at all times to prevent an accident and injury.

During an interview on 5/26/2026 at 11:22 a.m., CNA 2 stated she should have checked to make sure Resident 2's bed was locked because Resident 2 was a fall risk.

During an interview on 5/27/2026 at 12:45 p.m., the DON stated it was CNA 2's responsibility to make sure Resident 2's bed was locked to prevent accidents from occurring.

During a review of the facility's Policy and Procedure (P/P) titled, Safety and Supervision of Residents revised 7/2017, the P/P indicated the facility shall strive to make the residents' environment free from environmental hazards including, but not limited to:a. bed safety 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

056283 05/27/2026

Bixby Towers Post-Acute Rehab 3747 Atlantic Avenue Long Beach, CA 90807

indicated the medical record shall facilitate communication between the interdisciplinary team

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 LONG 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 BIXBY TOWERS POST-ACUTE REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.