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Health Inspection

North Long Beach Post Acute

June 28, 2024 · Long Beach, CA · 260 E Market St
Citations 4
CMS Rating 1/5
Beds 120
Provider ID 055995
Healthcare Facility
North Long Beach Post Acute
Long Beach, CA  ·  View full profile →
Inspection Summary

North Long Beach Post Acute in LONG BEACH, CA — inspection on June 28, 2024.

Found 4 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.

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Inspection Findings

FF688
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 41699 Some two of seven sampled residents (Resident 20 and 57). affected

During a Resident Council Meeting on 6/25/2024, at 11:15 a.m., Resident 105 stated he did not know how to file a grievance or who was the person to approach if he needed assistance or help to file a grievance or address a concern.

During an interview on 5/27/2024, at 5:31 p.m. with the Social Service Director (SSD), SSD stated the resident filled up a form if they had grievance about their care or missing personal items, refer them to the appropriate department and present their findings to the residents once they had reached a conclusion and resolution. SSD stated it was important for residents to know how to file grievance so the facility can address their needs and concerns.

During an interview on 6/28/2024, at 6:22 p.m., with the Director of Nursing (DON), the DON stated residents should know how to file a grievance so the facility can meet their needs and prevent frustration among residents who required assistance in filing a grievance.

During a review of facility's policy and procedure (P&P) titled Grievance/ Concern dated 8/25/2021, the P&P indicated Information about grievance will be provided upon admission or upon request, the resident or resident representative are provided with the Grievance Policy which informs of their right to voice grievances or concerns and the process for doing so.

055995

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 055995 B.

Wing 06/28/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Windsor Convalescent Center of North Long Beach 260 E Market St Long Beach, CA 90805

During a review of Resident 60's Admission Record, dated 6/25/2024, indicated, Resident 60 was admitted to the facility on [DATE] with diagnosis including dry eye syndrome of bilateral (a term used to describe two sides) lacrimal glands (a term used for tear glands that supplies tear fluid in the eyes).

During a review of Resident 60's History and Physical (H&P), dated 6/3/2024, indicated patient could not make decisions but could make needs known.

During a review of Resident 60's Minimum Data Set ([MDS], a standardized assessment and care screening tool) dated 5/22/2024, the MDS indicated Resident 60 had intact cognition (ability to think, understand, learn, and remember) and required moderate to complete assistance from facility staff for activities of daily living (tasks of everyday life that include personal hygiene, dressing, getting in and out of bed or chair, bathing, and toileting).

During a review of Resident 60's Physician Order Summary Report, dated 6/25/2024, the order summary report indicated the following medication:

Restasis Ophthalmic (a term used for eyes) emulsion (a mixture of two or more liquids that do not form uniform composition) 0.05 percent (% - a term used to indicate concentration) (Cyclosporine) instill one drop to both eyes two times a day for dry eye syndrome order date: 9/18/2023, start date: 9/19/2023.

055995

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 055995 B.

Wing 06/28/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Windsor Convalescent Center of North Long Beach 260 E Market St Long Beach, CA 90805

During a concurrent observation and interview on 6/25/2024 at 4:04 p.m. with Assistant Director of Nursing (ADON) in the Medication Room Station 1, the following medications and/or dietary supplements were found to be expired:

1a.

Four unopened bottles of cranberry 450 milligrams (mg - a unit of measurement) tablets; expiration date: 05/2024

1b.

One unopened bottle of simethicone 80 mg chewable tablets; expiration date: 03/2024

1c.

Four unopened bottles of calcium 600 mg plus vitamin D 5 micrograms (mcg - a unit of measurement) or 200 international units (IU - a unit of measurement) tablets; expiration date: 04/2024

1d.

Two unopened bottles of vitamin B12 500 mcg tablets; expiration date: 03/2024

1e.

One unopened bottle of vitamin B12 1000 mcg tablets; expiration date: 02/2024

1f.

One unopened bottle of bisacodyl 5 mg tablets, expiration date: 04/2024

055995

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 055995 B.

Wing 06/28/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Windsor Convalescent Center of North Long Beach 260 E Market St Long Beach, CA 90805

During a review of Resident 102's Admission Record, indicated the facility admitted Resident 102 on 1/9/2024 with diagnoses including pain in the right elbow, psychosis (severe mental disorder in which thought, and emotions are so impaired that contact is lost with external reality), and depression.

During a review of Resident 102's Physician Orders, dated 1/9/2024, indicated to apply lidocaine external cream to the right shoulder topically one time a day for shoulder pain.

055995

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 055995 B.

Wing 06/28/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Windsor Convalescent Center of North Long Beach 260 E Market St Long Beach, CA 90805

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 North Long Beach Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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