Health inspection·August 21, 2025

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to protect one of three sampled residents' (Resident 1) right to be free from physical abuse. This failure resulted in Resident 2 punching Resident 1 on the left side of Resident 1's eye on 8/10/2025. Resident 1 had swelling on the left side of his forehead near the left eye.Findings:During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including schizophrenia (a mental illness that is characterized by disturbances in thought) and anxiety disorder (a mental health condition characterized by excessive and persistent worry, fear, and nervousness that can significantly interfere with daily life).During a review of Resident 1's Minimum Data Set ([MDS] - a resident assessment tool), dated 05/22/2025, the MDS assessment indicated Resident 1's cognitive (ability to think, understand, learn, and remember) skills for daily decision making was severely impaired. The MDS indicated Resident 1 needs set up or clean up assistance (helper set up or cleans up; resident completes activity. Helper assists only prior to or following the activity) with eating and supervision with oral hygiene, toileting, showering and dressing.During a review of Resident 2's admission Record, the admission Record indicated Resident 2 was initially admitted to the facility on [DATE] with diagnoses including schizoaffective disorder ( a mental illness that can affect thoughts, mood, and behavior) and unspecified psychosis ( a severe mental condition in which thought, and emotions are so affected that contact is lost with reality).During a review of Resident 2's MDS, dated [DATE], the MDS indicated Resident 1's cognitive skills for daily decision making was intact. The MDS indicated Resident 2 was supervision or touching assistance with oral hygiene, toileting and dressing. The MDS indicated Resident 2 needs supervision or touching assistance with transfer and ambulation. During a concurrent observation and interview on 08/20/2025 at 10:36 a.m. with Resident 1, Resident 1 was observed with left eye discoloration, confused and cannot recall what happen to his left eye. Resident 1 stated there was nothing wrong with his left eye and refused to answer questions. During a telephone interview on 08/20/2025 at 11:59 a.m., with Resident 2's family members (FM1). FM 1 stated Resident 2 currently on a different facility. FM 1 stated the reason why Resident 2 was in the facility was because of his behavioral problems. FM1stated, Resident 2 informed FM 1 that Resident 1 was wearing Resident 2's shoes and he asked Resident 1 to remove them. FM 1 stated Resident 2 got upset and punched Resident 1 because he refused to remove Resident 2's shoes FM1 stated staff did not intervene when Resident 2 was asking for his shoes from Resident 1. During a telephone interview on 08/21/2025 at 08:37 a.m., with Certified Nurse Assistant (CNA) 1, CNA 1 stated Resident 1 was assigned to her on 8/10/2025. CNA 1 stated she made her rounds during the night, but Resident 1 was asleep with his head covered up with a blanket. CNA 1 stated she did not like to bother residents at night when they sleep so she does not wake them up and look at their faces. CNA 1 stated she should have ensure to take a closer look (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 4 Event ID: 056188 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 056188 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/21/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Long Beach Care Center, Inc 2615 Grand Avenue Long Beach, CA 90815 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)