Health inspection·February 25, 2026

F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review, the facility failed to ensure a rolling stool (a mobile seating device featuring a padded seat, a lift for adjustable height, and 360 degree swivel casters) was not left in the facility's dining/activity room where it posed a safety hazard to residents due to the rolling mechanism of the chair, for one out of three residents (Resident 1). This deficient practice resulted in Resident 1 losing her balance and falling while attempting to sit on a rolling stool. Resident 1 complained of pain to her right hip and left rib area and was transferred to a General Acute Care Hospital (GACH) where she was assessed with multiple right rib fractures (broken bones). This deficient practice had the potential to cause harm to other residents who were in the area where a rolling stool was left unattended. 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's diagnoses included multiple fractures of the ribs on the right side and paranoid schizophrenia (a chronic mental health condition characterized by intense, irrational, and persistent distrust, suspicion, and fear of others, along with auditory hallucinations [the perception of sounds, such as voices, music, or noises, in the absence of any external stimulus] and delusions [fixed, false beliefs firmly held despite clear, contradictory evidence]). During a review of Resident 1's Minimum Data Set ([MDS] a resident assessment tool), dated 12/3/2025, the MDS indicated Resident 1's cognition (the ability to think and reason) was moderately impaired. The MDS indicated Resident 1 required supervision (helper provides verbal cues and/or touching/steadying and/or contact guard assistance [where constant, light physical contact with a patient to provide stabilization and prevent falls, without lifting or supporting their weight] as resident completes activity, provided throughout the activity or intermittently) with walking greater than 10 feet and when sitting to standing. During a review of Resident 1's Situation, Background, Assessment, Recommendation ([SBAR] a communication tool used by healthcare workers when there is a change of condition among the residents) dated 2/8/2026, and timed at 4:30 p.m., the SBAR indicated Resident 1 sustained an unwitnessed fall in the activity room, and was lying on her left side. The SBAR indicated Resident 1 verbalized she had pain to both her right hip and left rib area. During a review of Resident 1's Physician's Orders, dated 2/8/2026, the Physician's Orders indicated to transfer Resident 1 to the GACH for a suspected fall with suspected injury. During a review of the facility's Five-Day Summary, dated 2/10/2026, the Five-Day Summary indicated on 2/8/2026, at approximately 4:30 p.m., Resident 1 independently ambulated (walked) into the activity room, where Certified Nursing Assistant (CNA) 1 was present. The Five-Day Summary indicated at the time of the incident CNA 1 was assisting another resident and briefly turned away when Resident 1 attempted to sit on a rolling stool, which rolled from underneath her (Resident 1) causing her to fall on to her left side. During a review of the GACH's Information Sheet dated 2/8/2026, the GACH's Information Sheet indicated Resident 1 arrived to the GACH on (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: 055995 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 055995 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/25/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE North Long Beach Post Acute 260 E Market St Long Beach, CA 90805 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)