Regency Palms Long Beach

87465 Incidental Medical and Dental Care...The licensee shall assist residents with self-administered medications as needed.This requirment has not been met as evidenced by: Based on observation, interviews and records review the administrator failed to ensure medication for resident R1 medications reviewed was not adminstrated accurately. This poses an immediate health and safety risk to residents in care.

(2)To have their records and personal information remain confidential and to approve their release, except as authorized by law.This requirement was not met as evidence by:Based on records review and interviews, The Licensee did not release R1’s records as authorized by law which poses a potential personal right risk to client in care. A Contract between LA Coast PACE, LLC and facility commenced on 10/01/2023 which includes an agreement to provide participant records. Plus, R1’s POA provided consent.

87506 Resident Records (a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based on observations, interviews, and record review Staff failed to ensure medications were provided to R1, that were signed off as administered. This poses an immediate health and safety risk to residents in care.

Personnel Requirements - General: All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 Based on observation and interviews, the facility failed to have 16 out 27 caregiver who work in Memory Care complete all the required training in 2025.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by: Interview conducted revealed R1’s family was not notified of R1's injuries or change in condition which included R1's eating habits and ability to ambulate, which poses a health, safety, and personal rights risks to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by: On 11/26/24, R1 sustained a fall in their bedroom resulting in wounds to their arms, hands, and a brain bleed. Additionally, staff were aware that R1’s motion sensor was turned off or not operable, which poses a health, safety, and personal rights risks to residents in care.

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services.This requirement is not met as evidenced by: Based on observations, interviews and record review, on 12/31/2024 during morning time staff did not provide competent services necessary to meet R1’s needs in ensuring that R1 received provisions of personal assistance and care which resulted in R1 having 2 unwitnessed falls and sustaining a hip fracture, which posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the eventsspecified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision.This requirement is not met as evidenced by: Based on observations, interviews and record review, the facility did not submit a written report to the department of a fall incident that occurred to R1 on 12/31/2024, that resulted to R1 having a hip fracture. The department has yet to receive an Unusual Incident/Injury Report of said incident on 12/31/2024 which posed a potential health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by: On 11/26/24, R1 sustained injuries while in care. Based on interviews, 7 out of 20 staff were aware that R1’s motion sensor was turned off or not operable, which poses a health, safety, and personal rights risks to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by: Interview conducted with S1 revealed that doctors and family were not notified of R1's injuries or change in condition which included R1's eating habits and ability to ambulate, which poses a health, safety, and personal rights risks to residents in care.

Based on interview andrecord review, the licensee/Executive Director did not comply with the section cited above as the medication administration record (MAR) indicating that medication(s) were given to residents #6-7 as prescribed, however LPA observed medication still to be in the bubble pack which poses/posed a potential health, safety or personal rights risk to persons in care.

Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights in Section 87468.1. . .elderly shall have all of the personal rights: (2) To have their records & personal information remain confidential & to approve release, except as authorized by law Based on observation, records review & interviews conducted, the licensee failed to ensure resident consented to the use of tempo worn device provided by Care Predict which tracks resident personal information (location, heart rate, etc.) which poses as a personal right risk to resident in care.

ncidental Medical and Dental Care (a) A plan for incidental medical & dental care shall be developed by each facility. The plan shall encourage routine medical & dental care & . . assistance in obtaining such care, by compliance with ...: (4) the licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by. Based on observation & record review, staff failed to ensure medication for (R1) was not administered as per the doctor's order. This poses a potential health & safety risk to residents in care.

Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence...(D) Any incident which threatens the welfare, safety or health of any resident... Based on conducted interviews & records review the licensee failed to report incidents that occurred on 04/13/2025 to licensing in accordance with Title 22 regulation. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Incidental Medical and Dental Care (a) A plan for incidental medical & dental care shall be developed by each facility. The plan shall encourage routine medical & dental care & . . assistance in obtaining such care, by compliance with ...: (4) the licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by. Based on observation & record review, staff failed to ensure medication for (R1) was not administered as per the doctor's order. This poses a potential health & safety risk to residents in care.

Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence...(D) Any incident which threatens the welfare, safety or health of any resident... Based on conducted interviews & records review the licensee failed to report incidents that occurred on 04/13/2025 to licensing in accordance with Title 22 regulation. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidence by: Based on observation and record review, facility staff failed to ensure medication for (R#1) was not administered as per the doctor's order. This poses a potential health and safety risk to residents in care.

87224 Eviction Procedures (d) The licensee shall set forth in the notice to quit the reasons relied upon for the eviction with specific facts to permit determination of the date, place, witnesses, and circumstances concerning those reasons.This requirement is not met as evidenced by: Based on the record review, the licensee failed to provide a valid Notice to Quit per Title 22 Reg 87244(d). This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Plan of Operations: The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation. . . This requirement is not met as evidenced by: Based on interviews conducted and records review the facility is not following the approved plan of operation by allowing the use of video surveillance in four (4) resident rooms.

Additional Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities. . . to have a reasonable level of personal privacy in accommodations. This requirement is nor met as evidenced by: Based on interview conducted and record review. . . Based on interviews and records reviewed the facility violated 2 out of 7 residents right to privacy by allowing the use of video surveillance with audio in residents rooms without consent.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met as evidence by: Based on observation and record review, facility staff failed to ensure medication for (R#1) was not administered accurately. This poses a potential health and safety risk to residents in care.

87303(i)(B) Maintenance and Operation. (i) Facilities shall have signal systems which shall meet the following criteria: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. This requirement is not met as evidenced by: Based on observation and records reviewed, LPA observed that the emergency signal system in room 302B does not currently transmit an auditory signal to a central staffed location, which poses a potential health and safety risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to...the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: Based on records review and interviews the facility staff are not answering residents’ s pull cords in a timely manner as shown in the Resident Incident Details Report for the period from April 1, 2025, to May 22, 2025. This poses a potential health and safety risk for all the residents in care.

Personnel Requirements- Facility personnel shall at all times be sufficinet in numbers to meet resident needs. In facilities licensed for 16 or more, sufficient support staff shall be employed to ensure provision of personeel assisitance and care as required in Section 87608 This Requirement is not met as evidence by:Based on interviews conducted and records review, Staff #1 failed to provide supervision of R1 while R1 was using a postural support (belt) which resulted in the R1 death.R1 was left unsupervised for over 45 minutes.This posed an immediate health& safety risk to residents in care

Postural Supports - Postural supports shall be limited to apliances or devices...used to achieve proper body position..but not limited to, preventing a resident from falling out of chair. This requirement is not met as evidence by:Based on interviews conducted and records reviewed on 1/7/23 resident was observed sliding out of wheelchair due to staff failing to use the prescribed postural support (safety belt). The postural support was ordered to prevent R1 from sliding/falling. This poses an health & safety risk to residents in care

Observation of the resident_ The Licensee shall ensure that residents are regularly observed for changes in physical,mental ,emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs.When changes are observed the licensee shall ensure the changes are documented and brought to the attention of the residents physician and Resposible party.This requirement was not met as evidence by: Based on interviews facility staff were aware of changes in R1 physical limitation and R1 not being able to be left unsupervised. There is no document appraisal documenting these changes. This poses a health & safety risk to residents in care

Plan of Operations: The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation. . . This requirement is not met as evidenced by: Based on interviews conducted and records review the facility is not following the approved plan of operation by allowing the use of video surveillance in resident rooms. This poses as a personal rights risk to residents in care.

Additional Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities. . . to have a reasonable level of personal privacy in accommodations. This requirement is nor met as evidenced by: Based on interview conducted and record review. . . Residents #1-7 currently have video surveillance with audio component. 5 of 7 residents are in shared rooms where the video surveillance are located. The facility does not have consent forms on file or approved waiver from licensing in compliance with EM 2-5800.

87463 Reappraisals (b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement is not met as evidenced by: Resident #1 had several falls with no Reappraisal to address the significant health changes with a fall management plan in detail. A plan of action needs to be implemented for the resident due to being at high risk for falls. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence...(D) Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by:Resident #1 had several falls and failed to submit an SIR to CCL for the 03/31/25 incident. In addition, seven incidents in April 2025 were not submitted to CCL. This poses a potential Health, Safety, or Personal Rights risk to persons in care.

Additional Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities. . . to have a reasonable level of personal privacy in accommodations Based on interview, five (5) residents have surveillance video cameras in their residents bedrooms which poses as a personal rights risk to residents in care.

87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. Based on interviews and record review the licensee did not ensure Resident R1, R2, R4, R5, and R6 were provided timely incontinent care to ensure they were kept clean and dry.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide of assistance in obtaining such care, by compliance with the following: (4) The Licensee shall assist residents with self-administered medications as needed.Based on observation and record review Staff failed to ensure medication for 7 out 7 resident medications reviewed was not adminstrated accurately. This poses an immediate health and safety risk to residents in care.

87506 Resident Records (a)The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based on observations, interviews, and record review Staff failed to ensure medications were provided to R1, R4, and R8 that were signed off as administered.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to...the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: Based on records reviewed, staff did not answer residents pull cords in a timely manner. According to “Resident Incident Details Report” of Pull Cords on the Third Floor dating 10/2024 to 11/2024 there were 32 incidents where it took staff over 20 minutes to respond to a residents pull cord.

87625 Managed Incontinence (b) In addition to...the licensee shall be responsible for the following: (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night.This requirement was not met as evidenced by: Based on records reviewed, the facility does have documented evidence that incontinence care was provided to 3 out 7 residents as required by their “Task Administration Record” for the months of 10/2024 and 11/2024; and there is minimal documented evidence that incontinence care was provided to 7 out 7 residents in care as required according to their "Task Administration Record”.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature...interfering with daily living functions such as...elimination.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by having S1 physically remove R1 from a resident room. Thus, R1 was not free from punishment, humiliation, physical abuse, or actions that were punitive in nature, which poses a health, safety, and personal rights risks to residents in care.

87705 Care of Persons with Dementia (a) This section applies to licensees who accept or retain residents diagnosed…to have dementia…(b) In addition to…the plan of operation shall address the needs of residents with dementia, including:…(2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials…(3) In addition to the on-the-job training…staff who provide direct care to residents with dementia shall receive the following training as appropriate for the job assigned and as evidenced by safe and effective job performance: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (4) Without violating Section 87468, Personal Rights, facility staff shall attempt to redirect a resident who attempts to leave the facility. (5) Residents who continue to indicate a desire to leave the facility following redirection shall be permitted to do so with staff supervision. (6) Without violating Section 87468, Personal Rights, facility staff shall ensure the continued safety of residents if they wander away from the facility…(A) Facility staff shall attempt to redirect any unaccompanied resident(s) leaving the facility. (5) Interior and exterior space shall be available on the facility premises to permit residents with dementia to wander freely and safely. (8) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff.This requirement was not met as evidenced by: Based on interviews conducted and record review, the licensee did not comply with section cited above by not following their Plan of Operation regarding safety measures to address behaviors such as wandering; S1 not redirecting R1 safely; S1 violating Personal Rights during attempted redirection for R1; not allowing R1 to wander freely and safely within the premises.

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement was not meet by evidence by: Based on interviews conducted and record review, the licensee did not comply with section cited above by not submitting a written report to the licensing agency within seven days of the incident that occurred on 11/20/2024.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights…This requirement was not met as evidenced by: Based on interviews and records review, facility staff did not assist R-1 after being alerted in a timely manner which poses a possible health and safety risk to persons in care.

87625 Managed Incontinence(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night.This requirement was not met as evidenced by: Based on interviews and records review, facility staff did not assist R-1 during the period of time when resident is known to be incontinent which poses a possible health and safety risk to persons in care.

87465 Incidental Medical and Dental Care...The licensee shall assist residents with self-administered medications as needed.This requirment has not been met as evidenced by: Based on observation, interviews and records review the administrator failed to ensure medication for 8 out 8 resident medications reviewed was not adminstrated accurately. This poses an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care...The licensee shall assist residents with self-administered medications as needed.This requirment has not been met as evidenced by: On 10/2/2024 LPA Troy Watson observed on eMAR that medications had been missed for residents 1-5 for month of September 2024. This is a potential health and safety risk to clients in care.

Resident RecordsThe licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirment has not been met as evidenced by: On 10/2/2024 LPA Troy Watson observed that eMAR that sections had been left blank, when they should have a charting code. This is a potential health and safety risk to clients in care.

87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided....any. This requirement is not met as evidenced by: Based on interviews, and record review, the licensee did not ensure that appropriate assistance was provided to R1. On 10/02/2023 S1 did not seek timely medical care to R1. This poses a health and safety risk to residents in care.

Incidental Medical and Dental Care. (a) A plan for Incidental, medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care... (2) The licensee shall provide assistance in meeting necessary medical and dental needs... This requirement is not met as evidenced by: Resident #1’s last known fall on06/27/21; whereby, the resident sustained a closed fracture of neck of right proximal humerus injury for which the resident did not receive medical treatment until four (4) days later on 07/01/21. This violation posed an immediate health and safety to residents in care.

Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (A) Dementia care including, but not limited to behavioral challenges...assisting with activities of daily living...skin care, communication... This requirement is not met as evidenced by: Resident #1 had a history of falls based on the physician’s report. (R1's) PCP recommended to facility staff that a plan of action needs to be implemented for the resident due to being a high risk for falls. This violation posed an immediate health and safety to residents in care. NOTE: facility updated Fall-Risk Assessment (dated 07/08/21).

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs....This requirement is not met as evidenced by: Based on interviews, and record review, the licensee failed to ensure adequate staffing to meet resident’s needs which posed a potential health risk to residents in care.

87303(i)(1)(A)Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria:(1)All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall:(A)Operate from each resident's living unit.This requirement is not met as evidenced by: Based on interviews, and record review, the licensee failed to ensure the safety of resident, on 11/5/21, LPA and S1 observed that 11 facility resident room call box stations did not have a pull cord which posed a potential health risk to residents in care.

87468.1(a)(2)Personal Rights of Residents in All Facilities(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on interviews, and record review, on 11/5/21, S1 informed LPA that R1, fell in resident's room, and sustained injury which posed a potential health risk to residents in care.

87464 Basic Services (f) Basic services shall at a minimum include:(1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).HANDBOOK BEGINS HERE Health and Safety Code section 1569.2(c) provides:(c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care.This requirement is not met as evidenced by: Based on interviews, and record review, the licensee failed to ensure that residents were incontinent changed during the NOC shift, which posed a potential health risk to residents in care.