Health inspection·April 16, 2025

F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1 ' s), Family Member (FM) 1 who was also the appointed Durable Power of Attorney (DPOA - a legal document where an agent is appointed to make financial, medical, and/or legal decisions on behalf of the appointor if they become unable to make rational decisions due to a mental or physical condition) was notified prior to Resident 1 ' s ophthalmology (a medical specialty focused on the medical and surgical care of the eyes and vision) and ear, nose and throat (ENT) appointment. Residents Affected - Few These failures resulted in Resident 1 being seen by the ophthalmologist on 6/10/2024 and by the ENT on 11/14/2024, without the DPOAs knowledge. These failures also resulted in a violation of Resident 1 ' s rights. Findings: During a review of Resident 1 ' s admission Record (Face Sheet), the Face Sheet indicated Resident 1 was originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including cognitive communication deficit (difficulty with cognitive processes like attention, memory, and reasoning) Alzheimer ' s disease (a progressive disorder that affects memory, thinking, and behavior), and legal blindness (poor vision that interferes with daily activities). During a review of Resident 1 ' s Minimum Data Set (MDS - resident assessment tool) dated 2/21/2025, the MDS indicated Resident 1 ' s cognition (ability to think and reason) was mildly impaired. The MDS indicated Resident 1 required maximum assistance (helper does more than half the effort) for toileting hygiene, showering/bathing, and dressing the upper/lower body. During a review of Resident 1 ' s Health Care Directive - Living Will/Health Care Power of Attorney (Health Care Directive), dated 4/8/2010, the Health Care Directive indicated FM 1 was the DPOA. During a review of Resident 1 ' s Interdisciplinary Team (IDT) Note, dated 4/30/2024, the IDT Note indicated the Director of Nursing (DON), and Minimum Data Set Coordinator (MDSC) spoke with the resident ' s representative, FM 1, over the phone and confirmed with FM 1 Resident 1 should only be seen by the primary care physician, podiatrist, and dentist/dental hygienist. The IDT Note indicated no other specialists are allowed to evaluate the Resident 1. The IDT Note further indicated nurses were reminded to notify and update FM 1 after every physician or specialist visit. During a review of Resident 1 ' s Ophthalmology Consult Note, dated 6/10/2024, the Ophthalmology Consult Note indicated Resident 1 had an eye exam on 6/10/2024. (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 5 Event ID: 056283 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 056283 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/16/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bixby Towers Post-Acute Rehab 3747 Atlantic Avenue Long Beach, CA 90807 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)