Health inspection·February 20, 2026

F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure they were free from roaches. This deficient practice resulted in a report of roaches in one of three sampled residents' (Resident 1) room, and observations of live and dead roaches in the facility's staff breakroom. This deficient practice had the potential for a roach infestation to occur affecting residents' health and wellbeing.Findings: During a review of Resident 1's admission Record (Face Sheet), the Face Sheet indicated Resident 1 was initially admitted to the facility on [DATE] and readmitted on [DATE]. Resident 1 had a diagnosis of anoxic brain damage (when the brain is completely deprived of oxygen causing cell death). During a review of Resident 1's Minimum Data Set ([MDS] a resident assessment tool) dated 12/16/2025 the MDS indicated Resident 1's cognition was moderately impaired. Resident 1 was dependent (helper does all the effort) on staff for toilet hygiene, shower/bath, lower body dressing and needed partial/moderate assistance with eating and oral hygiene. During a tour of the facility on 2/20/2026 at 2 p.m., two large dead roaches were observed on the floor behind the facility's water dispenser, and a live cockroach was observed crawling from under the water machine in the nurse's breakroom. Certified Nursing Assistant (CNA) 4, who was present in the breakroom when the roaches were observed, stated we've had an ongoing problem with roaches for a while. During an observation on 2/20/2026 at 2:05 p.m., in the staff's breakroom, a roach was observed crawling from underneath the refrigerator and Housekeeper (HS) 1, who was present in the breakroom, stepped on the roach. HS 1 stated when she sees a roach, she steps on it, reports it to her supervisor, who gives her a pesticide (a chemical or biological substance designed to prevent, destroy, repel, or mitigate [make less severe] pest) spray to use on the roach. HS 1 stated roaches carry germs, and they should not be in the breakroom because they can spread to the resident's room. During an interview on 2/20/2026 at 1:07 p.m., Resident 1 stated three weeks ago (exact day unknown) he saw a couple of big roaches crawling across the wall in his room. Resident 1 stated he told the Maintenance Supervisor (MS) who sprayed his room. Resident 1 stated cockroaches were nasty, and he did not want them in his room. During an interview on 2/20/2026 at 2:15 p.m., CNA 1 stated she sees roaches daily while she is eating lunch and has reported this to the MS. During an interview on 2/20/2026 at 3 p.m., HS 2 stated the nurses told her about the roaches in the breakroom, she stated, she reported it the MS and was instructed by him to clean the breakroom and spray insecticide (a substance used to kill insects). During an interview on 2/20/2026 at 3:30 p.m., the MS stated the nurses reported to him there were roaches in the breakroom two weeks ago (exact date unknown) and he sprayed the breakroom with an insecticide until he could call the pest control company (2/13/2026), that services the facility monthly and more frequently if needed. The MS stated he did not see any evidence of roaches in resident's rooms but knew there was a problem in the nurses' breakroom. The MS stated when the Pest Control Company came to the facility, their report indicated there was no pest activity found. The MS stated it was important to call the Pest Control Residents Affected - Some Page 1 of 2 055041 055041 02/20/2026 The Beach Post-Acute 2725 Pacific Avenue Long Beach, CA 90806

F 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Company when there was a report of pest because if there were roaches in one area of the facility, they could spread to the kitchen and residents' room and roaches carry germs. During an interview on 2/20/026 at 4:15 p.m., the Administrator (ADM) stated he was not aware there were roaches in the breakroom, but it was important to eliminate roaches from the facility due to germs they carry that could affect the residents health. During a review of the facility's Policy and Procedures (P&P) titled Pest Control dated 5/2008, the P&P indicated, the facility maintains an ongoing pest control program to ensure the building is free of insects and rodents. 055041 Page 2 of 2