Long Beach Care Center, Inc

In the surveyor’s words

From the most serious findings on record at Long Beach Care Center, Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 9, 2024

  Based on observation, interview, and record review, the facility failed to ensure the resident, who was assessed as a high-risk for wandering, did not elope (when a resident leaves a facility without supervision nor authorization) from the facility for one of three sampled residents (Resident 1). The facility failed to: 1. Supervise Resident 1 by conducting observations of Resident 1's whereabouts and monitor the resident every shift for episodes of wandering or attempting to elope from the facility as indicted in the resident's untitled Care Plan dated 8/20/2024. 2. Ensure staff responded to the entrance/exit door alarm as Resident 1 was leaving the facility through. 3. […]

• Immediate jeopardy, isolatedF689Feb 15, 2022

  Based on observation, interview and record review, the facility's nursing staff failed to provide adequate supervision and adhere to its policy and procedure to ensure one of three sampled residents (Resident A) did not elope (leave without notice or authorization) from a secure facility (a facility type which limits the ability to wander into unsafe areas or outdoors). Resident A, was under a public guardian ([PG] a person appointed and responsible for the care of an individual who are no longer able to make decision or care for themselves) conservatorship (appointed by a legal process), was assessed to be at risk for wandering and elopement and was diagnosed with [CONDITION(S)] (having thoughts or ideas about the possibility of ending one's life). The facility failed to ensure: 1. […]

• Actual harm, isolatedF600Mar 6, 2025

  Based on observation interview and record review the facility failed to protect the resident right to be free from physical abuse for one of three sampled residents (Resident 1) when Resident 2 punched Resident 1 on the left upper cheek. The facility failed to: 1. Intervene when Certified Nursing Assistant (CNA 1) and Licensed Vocational Nurse (LVN) 1 witnessed and heard Resident 1 and Resident 2 having an argument in a loud voice on 2/25/2025, at 6am. 2. Supervise Resident 1 and Resident 2 who were in the patio on 2/25/25. 3. Follow Resident 1's Care Plan titled Resident 1 has episode of aggressive behavior, believes someone is going to hurt him dated 12/29/24, with interventions to remove any resident in the immediate area if Resident 1 became aggressive. […]

• Actual harm, isolatedF689Dec 5, 2024

  Based on, interview and record review, the facility failed to ensure the resident, who had impairment (loss of function or ability) on both sides of upper extremity (shoulder, elbow, wrist, and hand) and lower extremity (hip, knee, ankle, and foot), did not sustained injury to left leg during transfer from a wheelchair to a bed for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure Certified Nursing Assistant (CNA) 4 asked another staff member to assist her with transferring Resident 1 from a wheelchair to bed per care plan titled, Needs Assistance with Activities of Daily Living (ADL-basic tasks that residents need to do to care for themselves such as eating, dressing and toileting ) dated 1/26/2024 and revised on10/14/2024, which indicated Resident 1 required… […]

• No harm, potential for more than minimal, widespreadF838Sep 5, 2025

  Based on interview and record review, the facility failed to update the facility assessment tool for 137 out of 137 residents when:1. The facility failed to include the Infection Prevention Nurse (IPN) as part of the required staff for daily facility operations; and2. The facility failed to assess the cultural and ethnic makeup of the facility's resident population.These deficient practices had the potential to result in delays of care and services and deter the facility to offer more culturally competent resident-centered care. Findings: During a concurrent interview and record review on 9/04/2025 at 8:43 a.m. with the Administrator, the Facility Assessment Tool, 7/10/2025, was reviewed. […]