Intercommunity Care Center
INTERCOMMUNITY CARE CENTER in LONG BEACH, CA — inspection on May 8, 2025.
Found 1 citation. 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 40's History and Physical (H/P), dated 3/4/2025, the H/P indicated Resident 40 had confusion and could not make medical decisions.
During a review of Resident 40's Minimum Data Set ([MDS], a resident assessment tool), dated 4/3/2025, the MDS indicated Resident 40 was rarely/never understood. Resident 40 required moderate assistance (helper does less than half the effort) on self-care abilities with eating, oral hygiene, and upper body dressing, was supervision assistance (helper provides verbal cues as resident completes the activity) with toileting hygiene, was maximal assistance (helper does more than half the effort) with shower/bathe self, lower body dressing, and putting on/taking off footwear, and was dependent (helper does all of the effort) with personal hygiene.
The MDS also indicated Resident 40 required supervision assistance with rolling left and right and walking 10 feet ([ft], a unit of measurement), required moderate assistance with sit to lying position, lying to sitting on side of bed, sit to stand position, bed to chair transfers, and toilet transfers and was maximal assistance with shower transfers.
The MDS also indicated Resident 40 had psychiatric diagnosis of schizophrenia and was taking an antipsychotic and antidepressant medication.
During a review of Resident 40's Physician Order Report, dated 5/1/2025 to 5/31/2025, the physician order report indicated Clozaril (Clozapine, medication primarily used to treat schizophrenia in patients who haven't responded to other treatments) tablet (pill) 400 milligram ([mg], a unit of measurement) one tablet for schizophrenia manifested by auditory hallucination (experiencing sounds, voices, or noises that are not actually present) at bedtime at 9:00 p.m. ordered on 4/19/2025.
During a review of Resident 40's Preadmission Screening and Resident Review (PASARR) Level 1 Screening, dated 5/8/2025 (completed on the same date of the record review), the PASARR Level 1 Screening indicated Resident 40 was positive for serious mental illness but negative for intellectual disability/developmental disability/related condition and Level 2 screening needed to be done.
555823
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555823 B.
Wing 05/08/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Intercommunity Care Center 2626 Grand Avenue Long Beach, CA 90815
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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.