Long Beach, CA

Colonial Care Center

1-star overall rating with 1-star inspections with Special Focus status with $158,227 in total fines with 32 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

1913 E 5th Street, Long Beach, CA

(562) 432-5751

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

196

Certified beds

Average residents

187

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Longwood Management Corporation

Operator or chain grouping

Approved since

1969-02-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 2 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.39

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.43

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.23

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.80

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

4.02

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

3.44

CMS adjusted total nurse staffing hours

Case-mix index

1.68

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,997

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.82

Composite VBP score used to determine payment impact.

Payment multiplier

0.9947

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.46

Baseline 18.79% · Performance 18.90% · Measure score 5.46 · Achievement 5.46 · Improvement 0

Healthcare-associated infections

3.12

Baseline 7.31% · Performance 6.90% · Measure score 3.12 · Achievement 3.12 · Improvement 1.26

Total nurse turnover

6.94

Baseline 39.89% · Performance 35.29% · Measure score 6.94 · Achievement 6.94 · Improvement 2.56

Adjusted total nurse staffing

1.20

Baseline 3.70 hours · Performance 3.42 hours · Measure score 1.20 · Achievement 1.20 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.27%
10.72%
0.5 pts better
No Different than the National Rate · Eligible stays 184 · Observed rate 7.07% · Lower 95% interval 6.91%
Discharge to community 33.41%
50.57%
17.2 pts worse
Worse than the National Rate · Eligible stays 69 · Observed rate 18.84% · Lower 95% interval 23.13%
Medicare spending per beneficiary 1.42
1.02
0.4 pts worse
Drug regimen review with follow-up 98.68%
95.27%
3.4 pts better
Numerator 149 · Denominator 151
Falls with major injury 1.32%
0.77%
0.6 pts worse
Numerator 2 · Denominator 151
Discharge self-care score 36.11%
53.69%
17.6 pts worse
Numerator 39 · Denominator 108
Discharge mobility score 30.56%
50.94%
20.4 pts worse
Numerator 33 · Denominator 108
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 151 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.9%
7.12%
0.2 pts better
No Different than the National Rate · Eligible stays 133 · Observed rate 6.02% · Lower 95% interval 4.19%
Staff COVID-19 vaccination coverage 17.86%
8.2%
9.7 pts better
Numerator 50 · Denominator 280
Staff flu vaccination coverage 22.81%
42%
19.2 pts worse
Numerator 65 · Denominator 285
Discharge function score 33.33%
56.45%
23.1 pts worse
Numerator 36 · Denominator 108
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 39 · Denominator 39
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 52.63%
25.2%
27.4 pts better
Numerator 40 · Denominator 76

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.0
2.3
0.7 pts worse
1.9
1.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
98.5%
6.4 pts worse
93.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 92.1% · Q3 90.7% · Q4 89.4% · 4Q avg 92.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.4%
98.2%
2.8 pts worse
95.5%
0.1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
1.6%
0.8 pts worse
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.6% · Q3 2.7% · Q4 1.6% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
6.8%
6.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 5.6%
4.1%
1.5 pts worse
5.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.9% · Q3 5.8% · Q4 5.3% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.0%
13.7%
4.7 pts better
19.6%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 8.1% · Q3 6.1% · Q4 10.3% · 4Q avg 9.0%
Percentage of long-stay residents who received an antipsychotic medication 41.8%
14.2%
27.6 pts worse
16.7%
25.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 47.9% · Q2 42.2% · Q3 37.8% · Q4 39.7% · 4Q avg 41.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 1.2%
0.4%
0.8 pts worse
0.1%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.6% · Q3 1.6% · Q4 0.5% · 4Q avg 1.2%
Percentage of long-stay residents whose ability to walk independently worsened 9.1%
11.0%
1.9 pts better
16.3%
7.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 10.8% · Q3 8.1% · Q4 8.7% · 4Q avg 9.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 18.5%
10.7%
7.8 pts worse
14.9%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 21.3% · Q3 16.7% · Q4 13.9% · 4Q avg 18.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
1.0%
0.8 pts worse
1.0%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.5% · Q3 1.9% · Q4 1.2% · 4Q avg 1.8% · Used in QM five-star
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 · Q1 1.2% · Q2 0.0% · Q3 1.3% · Q4 1.7% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.9%
10.9%
4 pts worse
19.8%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 12.0% · Q3 17.2% · Q4 16.6% · 4Q avg 14.9%
Percentage of long-stay residents with pressure ulcers 6.4%
4.7%
1.7 pts worse
5.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 8.5% · Q3 6.7% · Q4 3.9% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.9%
94.0%
54.1 pts worse
81.7%
41.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 27.0% · Q3 47.6% · Q4 48.6% · 4Q avg 39.9%
Percentage of short-stay residents who had an outpatient emergency department visit 10.7%
11.2%
0.5 pts better
12.0%
1.3 pts better
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.8% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 10.2%
1.5%
8.7 pts worse
1.6%
8.6 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 10.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 40.0%
93.2%
53.2 pts worse
79.7%
39.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.5%
23.2%
5.7 pts better
23.9%
6.4 pts better
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 15.5% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

32 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-23 · Fire 2024-02-23

26 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2022-02-18 · Fire 2022-02-18

29 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-06

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 2025-03-07

E · Potential for more than minimal harm 2025-02-06

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-06

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 2025-03-07

D · Potential for more than minimal harm 2025-02-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-07

F · Potential for more than minimal harm 2024-02-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-23

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 2024-03-15

E · Potential for more than minimal harm 2024-02-23

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-23

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-23

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-23

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-23

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-23

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 2024-03-15

F · Potential for more than minimal harm 2022-02-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

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 2022-03-18

E · Potential for more than minimal harm 2022-02-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

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 2022-03-18

Inspection history

Recent health citations

G · Actual harm 2026-01-29

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 2026-02-19

D · Potential for more than minimal harm 2025-11-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-11-29

G · Actual harm 2025-11-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-05-16

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 2025-06-05

J · Immediate jeopardy 2025-02-06

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-03-06

J · Immediate jeopardy 2025-02-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-06

F · Potential for more than minimal harm 2025-02-06

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-06

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 2025-03-03

F · Potential for more than minimal harm 2025-02-06

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-03-03

F · Potential for more than minimal harm 2025-02-06

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-03-05

F · Potential for more than minimal harm 2025-02-06

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2025-03-05

F · Potential for more than minimal harm 2025-02-06

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-02-06

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-02-06

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 2025-03-06

E · Potential for more than minimal harm 2025-02-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-02-06

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 2025-03-06

E · Potential for more than minimal harm 2025-02-06

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-02-06

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 2025-03-06

E · Potential for more than minimal harm 2025-02-06

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-02-06

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 2025-03-06

E · Potential for more than minimal harm 2025-02-06

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-03-27

E · Potential for more than minimal harm 2025-02-06

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 2025-03-06

E · Potential for more than minimal harm 2025-02-06

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 2025-03-04

E · Potential for more than minimal harm 2025-02-06

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 2025-02-28

E · Potential for more than minimal harm 2025-02-06

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-02-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-02-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-02-06

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-06

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-02-06

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 2025-03-27

D · Potential for more than minimal harm 2025-02-06

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-02-28

E · Potential for more than minimal harm 2024-12-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-03

E · Potential for more than minimal harm 2024-09-13

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 2024-10-04

E · Potential for more than minimal harm 2024-09-13

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 2024-10-04

D · Potential for more than minimal harm 2024-09-13

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-06-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-06-04

F772 · Administration Deficiencies

Health

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-04-05

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 2024-04-19

G · Actual harm 2024-02-23

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-23

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-23

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-23

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-23

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 2024-03-22

E · Potential for more than minimal harm 2024-02-23

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-23

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-02-23

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 2024-03-22

D · Potential for more than minimal harm 2024-02-23

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 2024-03-22

D · Potential for more than minimal harm 2024-02-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-23

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-23

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 2024-03-22

D · Potential for more than minimal harm 2024-02-23

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 2024-03-22

D · Potential for more than minimal harm 2024-02-23

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-23

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 2024-03-22

D · Potential for more than minimal harm 2024-02-23

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-01-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-03

F · Potential for more than minimal harm 2023-11-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-21

E · Potential for more than minimal harm 2023-10-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-07

F · Potential for more than minimal harm 2023-08-31

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 2023-09-19

D · Potential for more than minimal harm 2023-05-31

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-03-29

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-04-25

G · Actual harm 2023-03-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-03-23

G · Actual harm 2023-03-13

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 2023-03-23

E · Potential for more than minimal harm 2023-03-13

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-03-21

D · Potential for more than minimal harm 2023-03-13

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 2023-03-21

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-03-13

E · Potential for more than minimal harm 2022-02-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

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 2022-03-18

E · Potential for more than minimal harm 2022-02-18

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 2022-03-18

E · Potential for more than minimal harm 2022-02-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

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 2022-03-18

E · Potential for more than minimal harm 2022-02-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

F907 · Environmental Deficiencies

Health

Provide enough space and equipment to meet each resident's needs

Corrected 2022-03-18

E · Potential for more than minimal harm 2022-02-18

F917 · Environmental Deficiencies

Health

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

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 2022-03-18

D · Potential for more than minimal harm 2022-02-18

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-03-18

D · Potential for more than minimal harm 2022-02-18

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2022-03-18

B · Minimal harm 2022-02-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-03-18

B · Minimal harm 2022-02-18

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 2022-03-18

Penalties and ownership

What sits behind the stars

$19,135 2025-11-06

Fine

Fine · fine $19,135

Fine

$83,770 2025-02-06

Fine

Fine · fine $83,770

Fine

$0 2025-02-06

Payment Denial

Payment Denial · denial start 2025-03-11 · 16 days

16 day denial

$55,322 2024-02-23

Fine

Fine · fine $55,322

Fine

$0 2024-02-23

Payment Denial

Payment Denial · denial start 2024-03-23 · 27 days

27 day denial

Ownership

Friedman Family Trust

5% Or Greater Direct Ownership Interest · Organization

20% 23 facilities 2023-06-30
Friedman, Aaron

5% Or Greater Indirect Ownership Interest · Individual

20% 20 facilities 2023-06-30
Friedman, Ira

5% Or Greater Indirect Ownership Interest · Individual

20% 38 facilities 2023-06-30
Ira D Friedman 1991 Trust

5% Or Greater Direct Ownership Interest · Organization

20% 23 facilities 2023-06-30
Klavan, Rachel

5% Or Greater Indirect Ownership Interest · Individual

20% 29 facilities 2023-06-30
Lehmann Family 1991 Trust

5% Or Greater Direct Ownership Interest · Organization

20% 23 facilities 2023-06-30
Lehmann, Libby

5% Or Greater Indirect Ownership Interest · Individual

20% 15 facilities 2023-06-30
The Klavan Family Trust

5% Or Greater Direct Ownership Interest · Organization

20% 23 facilities 2023-06-30
The Tzippy Friedman Notis 1990 Trust

5% Or Greater Direct Ownership Interest · Organization

20% 23 facilities 2023-06-30
Friedman, Ira

Corporate Director · Individual

0% 38 facilities 2023-06-30
Friedman, Ira

Corporate Officer · Individual

0% 38 facilities 2023-06-30
Klavan, Rachel

Corporate Director · Individual

0% 29 facilities 2023-06-30
Modomo, Henry

W-2 Managing Employee · Individual

0% 1 facilities 2022-10-03

Nearby options

Other facilities in reach

#1

Edgewater Skilled Nursing Center

Long Beach, CA

2-star overall rating with 2-star inspections with $65,656 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$65,656
#2

Long Beach Post Acute

Long Beach, CA

5-star overall rating with 5-star inspections with $3,146 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$3,146
#3

Villa Serena Healthcare Center

Long Beach, CA

4-star overall rating with 4-star inspections with $26,685 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$26,685

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