Health inspection·December 15, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to ensure that one of three sampled residents (Resident 1) was treated with dignity and respect during personal care. Certified Nursing Assistant (CNA 1) used derogatory and offensive language toward Resident 1, including statements such as It smells bad and stinkyThis failure resulted in Resident 1 feeling humiliated, insulted, and emotionally distressed. The resident reported staying awake all night due to the incident on 11/29/2025.Findings:During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including broken left leg, broken left wrist and generalized muscle weakness. During a review of Resident 1's History and Physical (H&P), dated 11/21/2025, the H&P indicated Resident 1 had the capacity to make decisions for herself. During a review of Resident 1's Minimum Data Set (MDS-a resident assessment tool), dated 11/26/2025, the MDS indicated Resident 1 had moderate cognitive (ability to think, understand, learn, and remember) impairment. The MDS indicated Resident 1 understood clear comprehension. The MDS indicated Resident 1 was dependent on nursing staff for toileting, showering, sitting, standing and transferring. During a review of Resident 1's Grievance Resolution Report dated 11/30/2025 at 5:57 p.m., the Grievance Resolution Report indicated that Resident 1 was interviewed regarding the incident on 11/29/2025. Resident 1 stated that CNA 1, who was assigned to her, said, It smells bad and stinky. The Grievance Resolution Report also indicated that Resident 1 felt CNA 1 and CNA 2 were in a hurry while providing personal care. The report indicated that Resident 1 was satisfied with the outcome of the investigation and with her current care. During an interview on 12/13/2025 at 12:05 p.m. with Resident 1, Resident 1 stated that on 11/29/2025, Certified Nursing Assistant (CNA 1) entered her room between 11:30 p.m. to 12:30 a.m., without saying much, then removed her soiled incontinent briefs ( a disposable absorbent garment for managing bladder or bowel leakage) and began yelling, You are trash, messy, and stinky. Resident 1 stated she had never experienced such treatment before and was shocked. Resident 1 stated CNA 1 continued making comments such as This is smelly and disgusting while cleaning her with a dry terry cloth inside her legs and genital area. Resident 1 stated she began to cry and felt humiliated, insulted, and shocked. After CNA 1 left, Resident 1 stated she stayed awake all night crying. Resident 1 stated on 11/30/2025 (the next day), CNA 2 entered her room and asked why she told CNA 1 that she had not cleaned her, which made Resident 1 cry again because she had not said anything to CNA 1. Resident 1 reported that CNA 1 later returned, apologized, and told her to forget about what happened and move on. Resident 1 stated she did not forget and reported the incident to a nurse (unknown) and the Social Worker (SW 1). Resident 1 stated SW 1 told her the facility would investigate and follow up. She stated no one ever got back to her. She stated someone later told her the investigation was final and asked her to sign a document related to the incident, which she did without reading and did not receive a copy. Resident 1 stated she also reported the incident to the Administrator and SW 1 (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 055041 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 055041 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/15/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)