Anaheim, CA

Beach Creek Post-Acute

5-star overall rating with 4-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

645 South Beach Blvd., Anaheim, CA

(714) 821-1993

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

138

Certified beds

Average residents

131

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Links Healthcare Group

Operator or chain grouping

Approved since

1989-10-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing

LPN hours / resident day

1.32

Licensed practical nurse staffing

Aide hours / resident day

2.36

Nurse aide staffing

Weekend hours

3.57

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

32%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.2
2.3
0.1 pts better
1.9
0.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.6
1.1 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.2%
98.5%
2.3 pts worse
93.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
1.6%
1.1 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 8.5%
6.8%
1.7 pts worse
11.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.1%
4.1%
About the same
5.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.5%
13.7%
9.8 pts worse
19.6%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 26.1%
14.2%
11.9 pts worse
16.7%
9.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 5.7%
11.0%
5.3 pts better
16.3%
10.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.2%
10.7%
5.5 pts better
14.9%
9.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4%
1.0%
0.4 pts worse
1.0%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.0%
1.2%
0.2 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.8%
10.9%
5.1 pts better
19.8%
14 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.9%
4.7%
1.8 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
94.0%
5.2 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 5.6%
11.2%
5.6 pts better
12.0%
6.4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.9%
1.5%
3.4 pts worse
1.6%
3.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.4%
93.2%
4.2 pts better
79.7%
17.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.6%
23.2%
5.6 pts better
23.9%
6.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-03-07 · Fire 2023-03-07

21 health deficiencies

Top issue: Pharmacy Service (6 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-09-24 · Fire 2019-09-24

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-01-14

D · Potential for more than minimal harm 2025-01-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-14

D · Potential for more than minimal harm 2025-01-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-14

D · Potential for more than minimal harm 2023-03-07

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-03-07

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-03-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-03-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-08

D · Potential for more than minimal harm 2019-09-24

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-11-12

D · Potential for more than minimal harm 2019-09-24

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2019-11-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-12-31

D · Potential for more than minimal harm 2025-01-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-29

B · Minimal harm 2025-01-09

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-01-29

B · Minimal harm 2025-01-09

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-01-29

B · Minimal harm 2025-01-09

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-29

D · Potential for more than minimal harm 2024-01-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-22

D · Potential for more than minimal harm 2023-08-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-05-03

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-03

E · Potential for more than minimal harm 2023-03-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-04-06

D · Potential for more than minimal harm 2023-03-07

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2023-04-06

B · Minimal harm 2023-03-07

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2023-04-06

D · Potential for more than minimal harm 2019-09-24

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2019-10-23

D · Potential for more than minimal harm 2019-09-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-10-23

D · Potential for more than minimal harm 2019-09-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-10-23

B · Minimal harm 2019-09-24

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2019-10-23

B · Minimal harm 2019-09-24

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2019-10-23

Penalties and ownership

What sits behind the stars

Ownership

Links Healthcare Group LLC

5% Or Greater Direct Ownership Interest · Organization

100% 29 facilities 2022-10-01
Rodriguez, Curtis

5% Or Greater Indirect Ownership Interest · Individual

47% 29 facilities 2022-10-01
Tilford, Toby

5% Or Greater Indirect Ownership Interest · Individual

47% 29 facilities 2022-10-01
Beardsley, Mary

Operational/Managerial Control · Individual

0% 11 facilities 2022-10-01
Bernholz, Victoria

Operational/Managerial Control · Individual

0% 12 facilities 2022-10-01
Carter, Melissa

Operational/Managerial Control · Individual

0% 12 facilities 2022-10-01
Forbright Bank

5% Or Greater Security Interest · Organization

0% 30 facilities 2022-10-01
Frojelin, Antonette

Operational/Managerial Control · Individual

0% 12 facilities 2022-10-01
Ireifej, Yousef

Operational/Managerial Control · Individual

0% 1 facilities 2022-10-01
Links Healthcare Group LLC

Operational/Managerial Control · Organization

0% 29 facilities 2022-10-01
Links Support Services, LLC

Operational/Managerial Control · Organization

0% 16 facilities 2022-10-01
Pulido, Walker

Operational/Managerial Control · Individual

0% 1 facilities 2022-10-01
Rodriguez, Curtis

Operational/Managerial Control · Individual

0% 29 facilities 2022-10-01
Rodriguez, Curtis

Corporate Officer · Individual

0% 29 facilities 2022-10-01
Rothey, Jacob

Operational/Managerial Control · Individual

0% 1 facilities 2022-10-01
Tilford, Toby

Operational/Managerial Control · Individual

0% 29 facilities 2022-10-01
Tilford, Toby

Corporate Officer · Individual

0% 29 facilities 2022-10-01

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