Long Beach Care Center, Inc
LONG BEACH CARE CENTER, INC in LONG BEACH, CA — inspection on August 21, 2025.
Found 3 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 phone interview on 08/21/2025 at 10:10 a.m., with Licensed Vocational Nurse 1 (LVN 1), she was not aware Resident 1 was punched by Resident 2 in the face as no one reported it to her during her shift. LVN 1 stated she cannot recall seeing Resident 1 face during change of shift reports. LVN 1 stated she makes rounds every hour but did not see any incident that happened on 8/10/2025. LVN 1 stated she should have seen all residents faces when she makes rounds to assess residents as it is part of resident assessment regardless of whether it was the night shift or not. LVN 1 stated she should look at residents' faces to see if any abnormality can be addressed in a timely manner.
During an interview on 08/21/2025 at 12:31 p.m., with the Director of Nursing (DON), the DON stated, all staff were supposed to check on all residents to make sure they were safe.
The DON stated staff should see each resident face to face when they do the rounding.
The DON stated regardless of any situation, all residents have the right to be free from any type of abuse.During a review of the facility's P&P titled, Abuse, Neglect, and Exploitation, undated, indicated Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation.
The P&P indicated Resident must not be subject to abuse by anyone, including, but not limited to other residents.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Long Beach Care Center, Inc
2615 Grand Avenue Long Beach, CA 90815
SUMMARY STATEMENT OF DEFICIENCIES
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of six sampled resident (Resident 2) who resided at the facility and was transferred to General Acute care hospital (GACH) on 8/10/2025 was readmitted to the facility.This deficient practice resulted in Resident 2 being denied readmission by the facility. Resident 1 did not return to the facility.Findings:During a review of Resident 2's admission Record, the admission Record indicated Resident 2 was initially admitted to the facility on [DATE] with diagnoses including schizoaffective disorder ( a mental illness that can affect thoughts, mood, and behavior) and unspecified psychosis ( a severe mental condition in which thought, and emotions are so affected that contact is lost with reality).During a review of Resident 2's MDS, dated [DATE], the MDS indicated Resident 1's cognitive skills for daily decision making was intact.
The MDS indicated Resident 2 was supervision or touching assistance with oral hygiene, toileting and dressing.
The MDS indicated Resident 2 needs supervision or touching assistance with transfer and ambulation.During a record review of Progress Notes dated 08/10/25 signed by Registered Nurse (RN 2) timed at 13:54 p.m., the Progress Note indicated Resident 2 was transferred to GACH on 08/10/2025 for further evaluation after hitting Resident 2' s roommate (Resident 1) in the head using his fist.
During an interview on 08/20/2025 at 11:59 a.m., with Resident 2's Family member (FM1), FM1 stated he felt bad that Residents 2 was not able to return to the facility because FM 1 lives closer to the facility and it was convenient for Resident 2 family to visit the resident. FM 1 stated he was surprised when he received a phone call from the facility about Resident 2's new facility after Resident 2's hospitalization. FM 1 stated that as much as the facility was close to FM 1 residence, he will let Resident 2 stay where he was right now and not return to the previous facility because he does not want Resident 2 to be treated wrongly. FM 1 stated Resident 2 does not hit someone unprovoked. FM 1 stated it happens because Resident 1 does not want to return Resident 2's shoes.During an interview on 08/21/2025 at 12:31 p.m., with the Director of Nursing (DON), the DON stated, informed GACH case workers to find another facility for Resident 2 and not to return to the facility because Resident 2 was a danger to others.
The DON stated this was the first-time Residents 2 hit another resident, and he has not done it before.
The DON stated there was no documentation in Resident 2's medical record to show evidence that the facility made efforts to determine if Resident 2 needs cannot be met in the facility and he was a danger to other residents.
The DON stated he did not request any documents from GACH to assess resident's needs.
The DON stated facility Interdisciplinary team ([IDT] team members from different departments working together with a common purpose to set goals and make decisions that ensure residents receive the best care) made the decision for Resident 2 to transfer to another facility because the DON felt Resident 2 was a danger to others.
The DON stated that he should have requested GACH reports and treatments plan, contact Resident 2's physician before making the decision for Resident 2 not to return to the facility as this was the first-time Resident 2 had a behavior of hitting another resident.
The DON stated the facility should evaluate all plans of care, treatment, medications, and services needed of Resident 2 before making a decision not to have Resident 2 back to the facility.During a review of the facility's policy and procedure (P&P) titled, Return to Facility Policy (undated) the P&P indicated To establish clear guidelines for determining when a resident is clinically appropriate and safe to return to the facility after hospitalization.
The P&P indicated the Administrator, and the DON will review the discharge plan, current conditions care needs, the review include diagnosis and treatment plan and medication changes, behavioral or psychosocial support needs.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Long Beach Care Center, Inc
2615 Grand Avenue Long Beach, CA 90815
SUMMARY STATEMENT OF DEFICIENCIES
During a review of the facility's P&P titled, Care Planning-Interdisciplinary Team undated, indicated Our facility's Care Planning/Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan for each resident.
The Interdisciplinary Team may review and make recommendations for the safety of a resident.
Facility ID: