Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beach Creek Post-acute during CMS and state inspections, most recent first.
A resident reported rough handling by a CNA during care, and staff failed to immediately suspend the accused CNA as required by facility policy. The CNA continued working with other residents after the allegation was made. Additionally, the facility did not submit the results of its abuse investigation to the state agency within the required timeframe.
A resident with COPD and anxiety was receiving oxygen at a rate higher than prescribed, contrary to the care plan. The resident's oxygen saturation was below the target level when the oxygen rate was adjusted to the physician's order. This failure to follow the care plan posed a risk of inadequate individualized care.
A facility failed to monitor a resident's fluid intake as per physician's orders, leading to consistent excess fluid consumption. The resident, dependent on hemodialysis, had a prescribed fluid restriction of 1200 ml per day, but records showed intakes exceeding this limit. Interviews with staff confirmed documentation inconsistencies between CNAs and licensed nurses, highlighting a failure in communication and monitoring practices.
The facility failed to administer medications timely for two residents and did not accurately document controlled medications for two others. An LPN did not administer morning medications within the required timeframe, and documentation for controlled substances was incomplete, as confirmed by the DON and staff interviews.
The facility's medication error rate was 8.33%, exceeding the acceptable threshold. A resident received incorrect dosages and unauthorized treatments, including a nicotine patch without a physician's order. Another resident was given a multi-vitamin without minerals, contrary to the prescribed order. These errors were confirmed through observations and interviews with the LVNs involved.
The facility failed to ensure proper medication storage and labeling, with orally and rectally administered medications stored together and a medication drawer found unclean. A nicotine patch was applied to a resident without a physician's order due to missing labels, and there was a discrepancy in hold parameters for a resident's carvedilol medication. These issues could impact residents' well-being and medication effectiveness.
The facility failed to maintain sanitary conditions in the kitchen, risking foodborne illnesses for 125 residents. An ice machine contained an unidentified white powder, raw beef was stored in non-approved grocery bags, and a meal tray drying rack had rust and peeling paint. These issues violated USDA Food Code standards.
The facility failed to maintain infection control practices, as CNAs did not adhere to Enhanced Barrier Precautions (EBP) for two residents. One CNA did not wear a gown while providing incontinence care to a resident, and another CNA failed to don a gown while bathing and changing a resident with a gastrostomy tube. Additionally, there was no receptacle available in a designated EBP room for disposing of used gowns, with the nearest bin located 15 feet away.
A resident with COPD was not provided appropriate respiratory care as the facility failed to follow the physician's order for oxygen administration. The resident was receiving oxygen at a rate of four and a half liters per minute instead of the prescribed two liters per minute, resulting in an oxygen saturation of 86% when adjusted to the correct rate. LVN 8 confirmed the discrepancy and planned to notify the physician.
The facility did not conduct and document a comprehensive facility-wide assessment to determine necessary resources for resident care during routine and emergency situations. This deficiency was identified during a survey when the Administrator admitted that the Facility Assessment had not been completed, and it was only submitted the following day.
A resident with COPD did not have accurate and complete medical records due to missing documentation of pulmonary treatments and medication administration by licensed staff. The facility's policy required documentation by the end of each shift, but records for January showed missing entries for treatments such as Anoro Ellipta inhalation, incentive spirometer use, and chest physiotherapy.
The facility failed to dispose and store trash properly, leading to exposed waste in two out of three dumpsters outside the facility. One dumpster lid was bent, and another was overfilled, violating the US Food Code 2022 and the facility's policy. The DSS confirmed the issue, posing a threat for pest contamination.
Failure to Follow Abuse Investigation Protocol and Timely Reporting
Penalty
Summary
The facility failed to follow its abuse investigation protocol after a resident reported rough handling by a CNA during care. The resident, who was cognitively intact and able to make his own decisions, reported to staff that the CNA did not stop providing care when asked multiple times. Both an LVN and an RN observed or were informed of the incident, and the RN acknowledged that the situation constituted an allegation of abuse. Despite facility policy requiring immediate suspension of any employee accused of abuse pending investigation, the CNA continued to work with other residents for the remainder of the shift. The RN did not report the incident to the Administrator immediately, nor was the CNA suspended as required by policy. Additionally, after the facility completed its investigation and determined the allegation was unsubstantiated, the Administrator failed to submit the results of the investigation to the California Department of Public Health, Licensing & Certification Program, Orange District Office within five working days, as required by both facility policy and regulation. The Administrator acknowledged that this reporting requirement was missed. These failures were confirmed through interviews with staff and review of facility policies and documentation.
Failure to Implement Comprehensive Care Plan for Oxygen Administration
Penalty
Summary
The facility failed to implement the comprehensive care plan for a resident identified as being at risk for respiratory distress. The resident, who has a history of COPD and anxiety, was observed receiving oxygen at a rate of four and a half liters per minute, contrary to the physician's order of two liters per minute. This discrepancy was noted during an observation and interview with an LVN, who subsequently adjusted the oxygen flow to the correct rate as per the physician's order. Upon adjusting the oxygen flow to the prescribed rate, the resident's oxygen saturation level was measured at 86%, which is below the care plan goal of maintaining oxygen saturation at 92% or greater. The facility's policy and procedure for oxygen administration, revised in June 2023, requires that the resident's care plan identify interventions for oxygen therapy based on the resident's assessment and orders. The failure to adhere to the prescribed oxygen rate posed a risk of not providing appropriate individualized care to the resident.
Failure to Monitor Fluid Intake for Dialysis Resident
Penalty
Summary
The facility failed to adequately monitor and manage the fluid intake of Resident 106, who was dependent on hemodialysis due to end-stage renal disease. The physician's orders specified a fluid restriction of 1200 ml per 24 hours, with specific allocations for meals and nursing shifts. However, the facility's records showed that the resident's fluid intake consistently exceeded the prescribed limits, with daily totals surpassing the allowed amounts from meals alone. This discrepancy was noted in the Documentation Survey Report for CNAs, which recorded fluid intakes from meals that were higher than the allotted 720 ml, and the Medication Administration Record (MAR), which showed total daily intakes that often exceeded the prescribed 1200 ml. Interviews with the LVN and the Director of Nursing (DON) confirmed these findings and revealed inconsistencies in the documentation of fluid intake by CNAs and licensed nurses. The CNAs were responsible for documenting fluid intake from meals, while licensed nurses were expected to collaborate with CNAs to calculate the total intake, including fluids provided by nursing. The DON acknowledged the inconsistency between the MAR and the Documentation Survey Report, indicating a failure in communication and documentation practices that led to the resident's fluid intake not being properly monitored and managed as per the physician's orders.
Medication Administration and Documentation Deficiencies
Penalty
Summary
The facility failed to provide timely administration of medications for two residents, as observed during a survey. LVN 6 was responsible for administering medications to residents, but Residents 63 and 77 did not receive their scheduled morning medications at 0900 hours within the required 60-minute window. This delay was confirmed during an interview with LVN 6, who acknowledged the failure to adhere to the facility's policy on medication administration timing. Additionally, the facility did not maintain accurate documentation for controlled medications administered to two other residents. For Resident 85, the administration of oxycodone-acetaminophen was not documented in the Medication Administration Record (MAR) on a specific date, despite being dispensed and signed out. This discrepancy was verified by LVN 9 and the Director of Nursing (DON), who confirmed the need for proper documentation in the MAR. Similarly, for Resident 118, the administration of buprenorphine was not recorded in the Narcotic and Hypnotic Record on a particular date. LVN 3, who was responsible for administering the medication, admitted to failing to document the administration immediately after giving the medication. The DON and Administrator were informed of these findings, which highlighted lapses in the facility's medication administration and documentation processes.
Medication Administration Errors Exceed Acceptable Rate
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, with an observed rate of 8.33%. This deficiency was identified through observations, interviews, and medical record reviews. Specifically, Resident 4 received incorrect medication dosages and unauthorized treatments. The Licensed Vocational Nurse (LVN) administered 1000 micrograms of vitamin B12 instead of the prescribed 5000 micrograms and applied a nicotine transdermal patch without a physician's order. These actions were confirmed during an interview with LVN 10, who acknowledged the discrepancies between the administered medications and the physician's orders. Additionally, Resident 63 was administered a multi-vitamin tablet without minerals, contrary to the physician's order for a multi-vitamin/minerals tablet. This error was observed during a medication administration session with LVN 6, who verified the mistake upon reviewing the physician's orders. These medication administration errors have the potential to negatively impact the residents' health, as they deviate from the prescribed treatment plans.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure proper storage, labeling, and disposal of medications, as evidenced by several deficiencies observed during a survey. In Medication Cart 5, orally administered medications were stored together with rectally administered medications, contrary to the facility's policy that requires these to be stored separately. Additionally, the medication drawer was found to be unclean, with dried white residue present. These findings were verified by the Director of Nursing (DON) during the inspection. Furthermore, a package containing nicotine 21 mg transdermal patches was not labeled with essential information such as the resident's name, prescribing physician's name, prescription number, or prescribed dose. This led to a Licensed Vocational Nurse (LVN) applying a nicotine patch to a resident without a physician's order. In another instance, there was a discrepancy between the physician's order and the medication packaging for a resident's carvedilol medication, leading to confusion about the correct hold parameters based on the resident's systolic blood pressure. These failures had the potential to negatively impact the residents' well-being and the stability and effectiveness of the medications.
Sanitation Deficiencies in Kitchen Pose Risk for Foodborne Illness
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, posing a risk for foodborne illnesses among the 125 residents who received food prepared there. During an inspection, an ice machine was found with an unknown white powder substance floating in the water trough, which the maintenance staff initially identified as hard water deposits and later as chlorine, but ultimately could not confirm its identity. This substance had been accumulating since the last cleaning on December 27, 2024, indicating a failure to properly maintain the ice machine according to the facility's policy and procedures. Additionally, raw beef chuck was improperly stored in plastic grocery bags within Freezer 1, which were not approved for food storage, as confirmed by the Dietary Services Supervisor (DSS). Furthermore, a meal tray drying rack was observed with a brown residue resembling rust and peeling paint, which was verified by the DSS. These unsanitary conditions in food storage and equipment cleanliness were in violation of the USDA Food Code 2022, which requires that equipment, food-contact surfaces, and utensils be clean to sight and touch.
Infection Control Deficiencies in PPE Usage and Disposal
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices, as evidenced by several observations and interviews. CNA 1 did not adhere to Enhanced Barrier Precautions (EBP) when providing incontinence care to Resident 58, as she wore gloves but failed to don a gown, despite the EBP sign indicating the requirement for both gloves and a gown for high-contact resident care activities. CNA 1 acknowledged the oversight during an interview, stating it was an accident. The Infection Preventionist (IP) confirmed that ongoing education on EBP was provided to staff, and acknowledged the finding. Additionally, CNA 6 did not follow the required EBP when providing care to Resident 50, who had a physician's order for enhanced barrier precautions due to a gastrostomy tube (GT). CNA 6 was observed bathing and changing Resident 50's adult brief while only wearing gloves, failing to don a gown as required. The IP verified that staff members were required to wear both gloves and a gown for such care. Furthermore, there was no receptacle readily available in Room A, designated for enhanced barrier precautions, to dispose of used gowns. LVN 1 indicated that the used gowns would be placed in a bin located approximately 15 feet away from the room.
Failure to Follow Physician's Order for Oxygen Administration
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident diagnosed with COPD, as evidenced by not adhering to the physician's order for oxygen administration. The physician's order specified that the resident should receive supplemental oxygen at a rate of two liters per minute to maintain an oxygen saturation level of 92% or greater. However, during an observation, the resident was found to be receiving oxygen at a rate of four and a half liters per minute, which was not in accordance with the physician's order. Upon further investigation, it was confirmed by LVN 8 that the resident was indeed receiving oxygen at the incorrect rate. When the oxygen rate was adjusted to the prescribed two liters per minute, the resident's oxygen saturation dropped to 86%, indicating a change in condition. LVN 8 acknowledged the discrepancy and stated that the physician would be notified of the resident's condition. This failure to follow the physician's order for oxygen administration had the potential to result in negative health outcomes for the resident.
Failure to Conduct and Document Facility-Wide Assessment
Penalty
Summary
The facility failed to conduct and document a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. This deficiency was identified during a survey when the surveyors requested the Facility Assessment during an entrance conference with the Administrator and the Director of Nursing (DON). The Administrator admitted that the Facility Assessment had not been completed at the time of the request. The assessment was only submitted to the survey team the following day, indicating a delay in compliance with regulatory requirements.
Incomplete Documentation of Pulmonary Treatments for a Resident
Penalty
Summary
The facility failed to maintain accurate and complete medical records for a resident, specifically regarding the documentation of pulmonary administration as ordered by the physician. The resident, who was admitted to the facility with a history of COPD, had several physician's orders related to pulmonary treatments and medication administration. These included the use of Anoro Ellipta inhalation, incentive spirometer treatments, chest physiotherapy via Acapella, and oxygen administration. However, the medical records for January 2025 showed missing documentation by licensed nurses for these treatments and medications on specific dates. During interviews and medical record reviews, it was confirmed that the licensed staff did not document the administration of the prescribed treatments and medications for the resident. The Director of Nursing (DON) acknowledged that the facility's policy required documentation to be completed by the end of each shift. The lack of documentation for the resident's pulmonary treatments and medication administration resulted in incomplete and inaccurate medical records, which could potentially impact the resident's healthcare needs.
Improper Trash Disposal and Storage
Penalty
Summary
The facility failed to dispose and store trash in a sanitary manner, which posed a threat for pest contamination. During an observation of trash disposal, two out of three dumpsters located outside the facility were found with lids not completely closed. One dumpster lid was bent, and the other dumpster was overfilled with trash, leading to exposed waste. The Director of Support Services (DSS) confirmed that the trash was exposed and the lids of the two dumpsters were not fully closed. This observation was in violation of the US Food Code 2022, Section 5-501.113, which requires receptacle units for refuse to be kept covered with tight-fitting lids after they are filled. Additionally, the facility's policy and procedure for disposing of garbage and refuse, revised on 12/19/22, mandates that refuse containers and dumpsters outside the facility should have tightly fitting lids, doors, or covers.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Anaheim
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Anaheim Healthcare Center, Llc | 0.1 mi | — | 2 | 0 |
| Anaheim Crest Nursing Center | 0.6 mi | — | 2 | 0 |
| West Anaheim Medical Center D/p Snf | 0.6 mi | — | 16 | 0 |
| Buena Park Nursing Center | 1.2 mi | — | 48 | 0 |
| Anaheim Terrace Care Center | 1.2 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.