Pacific Palms Healthcare
PACIFIC PALMS HEALTHCARE in LONG BEACH, CA — inspection on December 30, 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
Summary Report (Physician Order's) dated 12/18/2025, Resident 1 was to receive Refresh Liquigel Ophthalmic Gel 1 % one application in both eyes at bedtime for dry eyes, ordered on 12/18/2025.
During an interview on 12/30/2025 at 10:56 a.m., Resident 1 stated he has not been receiving the eye drops at night that were ordered by his physician.During a concurrent observation and interview on 12/30/2025 at 11:57 a.m. with Licensed Vocational Nurse (LVN) 1, of the East 2 Station medication cart, LVN 1 stated there were no Refresh eye drops in the medication cart for Resident 1 and would need to follow up with the supervisor.During a concurrent observation and interview on 12/30/2025 at 12:21 p.m. and subsequent interview on 12/30/2025 at 2:36 p.m., with Registered Nurse (RN) 1, of the facility's House Supply closet (a locked storage area where a collection of over-the-counter medications [any non-prescription medicine] are kept in the facility) RN 1 stated there was no Refresh drops in the House Supply closet. RN 1 stated she could not find any pharmacy delivery receipts of the Refresh drops for Resident 1 indicating the Refresh drops were delivered to the facility. RN 1 stated there should have been a follow up regarding Resident 1's Refresh eye drops to see why it was not delivered to facility. RN 1 stated if Resident 1 does not receive the prescribed eye drops then Resident 1's eye dryness will remain untreated.
During an interview on 12/30/2025 at 1:07 p.m., the Pharmacist confirmed Resident 1's order for the Refresh eye drops was processed today (12/30/2025).
The Pharmacist stated if the medication is an over-the-counter medication, the Pharmacy will not provide it, unless it was specifically requested by the facility.
The Pharmacist stated there was no documentation that the facility called regarding the Refresh eye drops.During a review of the facility's policy and procedure (P&P) titled Pharmacy Services, dated 4/2019, the P&P indicated residents have sufficient supply of their prescribed medications and receive medications (routine, emergency or as needed) in a timely manner.
The P&P indicated nursing staff should communicate prescriber orders to the pharmacy and are responsible for contacting the pharmacy if a resident's medication is not available for administration.
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
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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.