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Complaint Investigation

Broadway By The Sea

Inspection Date: September 16, 2025
Total Violations 2
Facility ID 055894
Location LONG BEACH, CA
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm

it was important to follow and carry out physician's orders because it was part of the care of the residents to promote healing. The DON stated there was a possibility of causing a delay of care or slowing the progression of healing for missing an order for medication. The DON stated it was important to obtain a copy of the Office Visit Notes within 72 hours to ensure all recommendations and orders were followed through and carried out.

Residents Affected - Few

During a review of the facility's Registered Nurse Job Description dated 12/17/2021, the job description indicated the Registered nurse was responsible for initiating requests for consultations and referrals and responding to requests from the resident, physician, or nursing staff. Registered Nurses job responsibilities included consulting with the physicians regarding resident evaluation and planning and developing the nursing services to be performed for the resident.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Broadway by the Sea

2725 E. Broadway Long Beach, CA 90803

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

follow up by PD1. The Office Visit Summary, Resident 1 reported the condition of her feet was the same with no improvement. PD1 noted Resident 1's toenails continued to show fungal infection. The Office Visit Note indicated Resident 1 was to continue daily application of Ciclopirox 8% for 6 months to one year on

the toenails.

During a review of Resident 1's Physician and Telephone Orders dated 9/3/2025, PD 1 ordered Resident 1 to continue with Ciclopirox 8% on the toenails.

During an interview on 9/16/2025 at 11:33 a.m., with treatment nurse (TX)1, TX 1 stated Resident 1 was no longer receiving treatment Ciclopirox 8% to the toenails and has not received it for some time now. TX1 stated she was unsure why Resident 1 was not receiving the treatment on the toenails.

During an interview and concurrent record review on 9/16/2025 at 12 p.m., with the Assistant Director of Nursing (ADON), the ADON reviewed Resident 1's Resident 1's Office Visit Summaries with PD1 dated 7/1/2025 and 9/3/2025. The ADON stated there was no current order for Ciclopirox 8% nail lacquer for Resident 1 toenails and Resident 1 had not received the treatment for her toenails since 7/14/2025. The ADON stated the facility's Social Services Director (SSD) had to call and request the outpatient Office Visit Notes from the podiatrist (4/29/2025 and 9/3/2025) because they were not in Resident 1's chart prior to today (9/16/2025). The ADON stated she was unaware of the process for following up on Office Visit Notes.

The ADON stated it was important to have the Office Visit Notes available right aware for continuity of care.

The ADON stated the Office Visit Notes were obtained late for the 7/1/2025 podiatrist visit, and the orders should have been placed the same day or next day and not 11 days later. The ADON stated that according to the orders of PD1, Resident 1 should still be receiving treatment for her toenails and was unsure why the orders were not carried out. The ADON stated the physicians order for Ciclopirox 8% to the left and right great toes from July to September 2025 was missed and not implemented. The ADON stated this error caused potential for a delay in healing for Resident 1's left and right great toenail fungus.

During an interview on 9/16/2025 at 12:58 p.m., with the Director of Nursing (DON) the DON stated it was important to follow and carry out physician's orders because it was part of the care of the residents to promote healing. The DON stated there was a possibility of causing a delay of care or slowing the progression of healing for missing an order for medication. The DON stated it was important to obtain a copy of the Office Visit Notes within 72 hours to ensure all recommendations and orders were followed through and carried out.

During a review of the facility's Registered Nurse Job Description dated 12/17/2021, the job description indicated the Registered nurse was responsible for initiating requests for consultations and referrals and responding to requests from the resident, physician, or nursing staff. Registered Nurses job responsibilities included consulting with the physicians regarding resident evaluation and planning and developing the nursing services to be performed for the resident. The Registered Nurse job responsibilities included reviewing medication orders for completeness of information and accuracy in the transcription of the physician's order.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

BROADWAY BY THE SEA in LONG 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 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 BROADWAY BY THE SEA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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