Health inspection·May 16, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on observation, interview, and record review the facility failed to ensure three of the five sampled staff (Receptionist 1, Certified Nurse Assistant 1, and Maintenance 1) wore an identification badge as indicated in the facility ' s policy. This deficient practice did not promote a culture of safety and transparency and violated residents ' right to know who was providing care and to be treated with respect. Findings: During an observation and interview on 5/16/2025 at 10:08 a.m., with Receptionist 1, Receptionist 1was not wearing a name badge and Receptionist 1 stated she was new, and she was still waiting for her name badge to be issued. During an observation and interview on 5/16/2025 at 10:10 a.m., with Certified Nurse Assistant 1 (CNA 1), CNA 1 was not wearing a name badge and CNA 1 stated she forgot to wear her name badge today. During an observation and interview on 5/16/2025 at 10:20 a.m., with Maintenance 1, Maintenance 1was not wearing a name badge and Maintenance 1 stated he was not wearing his name badge right now while doing rounds in residents ' rooms. During an interview on 5/16/2025 at 12:47 p.m. with the Assistant Director of Nursing ADON), the ADON stated all staff need to always wear a name badge so residents can identify facility staff. During a review of the facility's policy and procedure (P&P) titled, Identification Badge Policy, updated 1/2021, the P&P indicated: 1) The purpose of the policy was to establish a process for the issuance of approved identification badges and designate the responsibilities associated with maintaining compliance for ALL employees. 2) An identification badge, including; employees 1) full name (in at least 18 p An identification badge, including; employees 1) full name (in at least 18-point font), 2) position/ title and 3) current professional picture, must be worn by all staff members, always while on the facility premises. This is an important aspect of both security and resident rights. 3) All staff were responsible for: a. Wearing the company always issued picture identification badge while at work, on facility Page 1 of 3 056283 056283 05/16/2025 Bixby Towers Post-Acute Rehab 3747 Atlantic Avenue Long Beach, CA 90807

F 0550 premises and not outside the premises unless on official business; Level of Harm - Minimal harm or potential for actual harm b. Wearing the identification badge above waist level and fully visible with face and name side facing outwards: Residents Affected - Some c. Ensuring that identification badges are easily read and not obscured by clothing, stickers or anything else that could inhibit a patient or visitor from seeing/reading the badge. 056283 Page 2 of 3 056283 05/16/2025 Bixby Towers Post-Acute Rehab 3747 Atlantic Avenue Long Beach, CA 90807

F 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. 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 one of four sampled resident ' s (Residents 3) call light (device that allows residents to request assistance from nursing staff) was within reach. Residents Affected - Few This deficient practice resulted in a delay of care and services. Findings: During a review of Resident 3 ' s admission Record, the admission Record indicated Resident 3 was originally admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy (brain disorder) and muscle weakness. During a review of Resident 3's Minimum data Set (MDS), a resident assessment tool, dated 2/20/2025, the MDS indicated Resident 3 ' s cognition was intact. The MDS indicated Resident 3 needed setup assistance with eating, oral hygiene, personal hygiene, and partial assist (helper does less than half the effort) with showering. During an interview and observation 5/16/2025 at 10:30 a.m. with licensed vocational nurse 2 (LVN2), Resident 3's called light was not in reach. LVN 2 stated Resident 3 ' s call light should be within reach so he can call for help. During an interview on 5/16/2025 at 12:47 p.m. with the Assistant Director of Nursing ADON), the ADON stated call lights should always be in reach so residents can call for assistance when needed. During a review of the facility's policy and procedure (P&P) titled, Call Light Answering, revised 12/2023, the P&P indicated the facility will provide the residents a means of communication with the nursing staff. The P&P indicated the call light need to be within the residents ' reach before the staff leaves the room. 056283 Page 3 of 3