The Beach Post-acute
The Beach Post-Acute in LONG BEACH, CA — inspection on January 10, 2025.
Found 10 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 review of the facility's policy and procedure (P&P) titled Resident Assessment-Coordination with PASARR Program dated 5/2024, the P&P indicated Any resident who exhibits a newly evident or possible serious disorder, intellectual disability or a related condition will be referred promptly to the state mental health or intellectual disability authority for a level II resident review.
Examples include: A. A resident who exhibits behavioral, psychiatric, or mood related symptoms suggesting the presence of a mental disorder (where dementia is not the primary diagnosis).
B. A resident whose intellectual disability or related condition was not previously identified and evaluated through PASARR.
C. A resident transferred, admitted , or readmitted to the facility following an inpatient psychiatric stay or equally intensive treatment.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
During a review of Resident 41's admission Record, the admission Record indicated Resident 41 was admitted to the facility on [DATE] with diagnoses including, gastrostomy tube (GT-surgical opening that allows for nutritional support or stomach drainage), chronic obstructive pulmonary disease ( COPD-is a chronic lung disease that causes breathing difficulties.), muscle weakness ( loss of muscle strength), pressure ulcer (localized, pressure-related damage to the skin and/or underlying tissue usually over a bony prominence) of the right heel.
During a review of Resident 41's Minimum Data Set (a resident assessment tool) dated 11/8/2024 indicated Resident 41 was able to make self-understood, and able to understand others.
The MDS indicated Resident 41 needs extensive assistance with transfer, dressing, eating, toilet use, and personal hygiene.
During a review of Resident 41's Braden Scale for Predicting Pressure Sore Risk (tool used to assess a patient's risk of developing a pressure sore), the Braden Scale for Predicting Pressure Sore Risk indicated Resident 41 was at high risk of developing pressure sore.
During an observation on 01/07/2025 at 1:13p.m observed Resident 41's in bed.
Observed Licensed Vocational Nurse 2 (LVN 2) performing dressing change on Resident 41's gastrostomy tube site. LVN 2 stated Resident 41 only have GT dressing and no other wound treatment.
During a concurrent interview and record review on 1/7/2025 at 2:19 p.m., with LVN 2, reviewed Resident 41's clinical record. Resident 41 has a resolved pressure ulcer on left heel, right heel with stage 4 (full-thickness skin and tissue loss with exposed muscle, tendon, ligament, cartilage, or bone), with a physician order for daily wound treatment to right heel, cleanse with normal saline ( wound cleanser) pat dry, apply Santyl ( wound medication) ointment to wound, surrounding area, zinc oxide wound medication ) ointment cover with dry dressing every day for 30 day. LVN 2 stated she forgot to do the treatment on Resident 41's right heel thinking it was healed already. LVN 2 stated she missed Resident 41's right heel wound treatment on 1/7/2025. LVN 2 stated she thought Resident 41 only had GT dressing. LVN 2 stated she failed to look at the physician orders and compare it with the treatment administration record.
During an interview on 01/09/25 at 1:24 p.m., LVN 2, stated before she does the wound treatment she need to read and follow the physician's order to ensure correct wound care treatment was done. LVN 2 stated if failed to follow physician order, Resident 41 will miss the wound treatment and would cause delay in wound healing.
During an interview on 01/09/25 01:45 p.m., with the Director of Nursing (DON), the DON stated licensed nurses should follow physician orders for wound treatment and compare with Treatment Administration Record.
The DON stated if wound care treatment was missed before the end of the day, it should be done by any other staff or else it would develop wound infection.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
During an interview on 1/10/2025 at 2:44 p.m., with the Director of Nursing, the DON stated it was important for residents to receive RNA program to prevent self-isolation, decline in mobility and range of motion.
The DON stated the referral for the RNA program was missed by the licensed nurses for Resident 37.
During a review of the facility's policy and procedure (P&P) titled, Covenant Care Restorative Nursing Program, dated 11/2017, the P&P indicated, Referral to the Restorative Nursing Program (RNP) can occur at the termination of therapy services or at any time the resident is deemed appropriate for the program. To this end, a resident may move from skilled therapy to concurrent skilled and restorative intervention as a progression through treatment.
The therapist (Physical, Occupational, or Speech) will document which parts of the program are to be executed under the RNP and which are being carried out under skilled therapy by completing the restorative therapy referral.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
bedside for all residents on hemodialysis.
The DON stated there was a safety concern with residents
indicated if bleeding is apparent, apply direct pressure direct pressure over the shunt site or graft site for 10-12 minutes. If bleeding is persistent or severe call physician immediately and notify dialysis center.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
to have a diet downgrade to puree.
This diet change often causes residents to lose weight as they do
the change in his/her physical appearance.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
During an observation 1/07/2025 at 8:10 a.m. in the kitchen freezer an open bag of pancakes and cinnamon rolls did not have a label of open date or use by date on the bag.
During an interview on 1/7/2025 at 8:10 a.m., with the Dietary Supervisor (DS), the DS stated that there was not a label of open date or use by date on the open bag of pancakes or cinnamon rolls. DS stated there always needs to be label of open date and use by date on food after it has been opened to ensure the quality of the food was good and palatable for the residents.
During an interview on 1/10/2025 at 2:34 p.m. with the Director of Nursing (DON), the DON stated all open food needs to have a label of open date and best by date to ensure the food was fresh.
The DON stated there was a possibility for gastrointestinal (GI) illness if residents were served food that was expired.
During a review of the facility's policy and procedure (P&P) titled Food Receiving dated February 2009, the P&P indicated, Upon delivery and/ or opening / using a food item's, label and date the food items at the time they are opened, follow the used- by- dates and expiration date on the product.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
During a review of the facility's policy and procedure (P&P) revised 10/22, titled Infection Prevention
facility's established hand hygiene procedure.
The objectives of the infection control policies and practices are to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable disease and infections as per accepted national standards and guidelines.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
During an interview on 1/10/2025 at 2:08 p.m., with Registered Nurse Supervisor (RNS) 1, RNS 1 stated the McGeer criteria was a screening tool used before starting antibiotics. RNS 1 stated when an antibiotic order was received the licensed nurses always notify the IP of any antibiotics ordered.
RNS 1 stated the IP needs to be notified for Antibiotic Stewardship to make sure the resident gets the right antibiotics. RNS 1 stated if Antibiotic Stewardship was not done the resident could develop resistance to the antibiotic and the resident will be hard to treat with antibiotic if the resident gets an infection.
During a review of the facility's policy and procedure (P&P) titled, Antibiotic Stewardship Program, date revised 6/2023, the P&P indicated, Nursing staff shall assess residents who are suspected to have an infection prior to notifying the physician.
Laboratory testing shall be in accordance with current standards of practice.
The facility uses the McGeer criteria to define infections.
The Loeb Minimum Criteria may be used to determine whether to treat an infection with antibiotics.
Prescriptions for antibiotics shall specify the dose.
Duration, and indication for use.
Whenever possible, narrow-spectrum antibiotics that are appropriate for the condition being treated shall be utilized.
055041 01/10/2025
The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806
vaccination, and change their decision based on current guidance.
staff received the vaccine.
During an interview on [DATE] at 8:10 a.m., with the Dietary Supervisor (DS), the DS stated that there was not a label of open date or use by date on the open bag of pancakes or cinnamon rolls. DS stated there always needs to be label of open date and use by date on food after it has been opened to ensure the quality of the food was good and palatable for the residents.
During an interview on [DATE] at 2:34 p.m. with the Director of Nursing (DON), the DON stated all open food needs to have a label of open date and best by date to ensure the food was fresh.
The DON stated there was a possibility for gastrointestinal (GI) illness if residents were served food that was expired.
During a review of the facility's policy and procedure (P&P) titled Food Receiving dated February 2009, the P&P indicated, Upon delivery and/ or opening / using a food item's, label and date the food items at the time they are opened, follow the used- by- dates and expiration date on the product.
055041
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 055041 B.
Wing 01/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Royal Care Skilled Nursing Ctr 2725 Pacific Avenue Long Beach, CA 90806
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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.