Bixby Towers Post-Acute Rehab

3747 Atlantic Avenue · Long Beach, CA · 90807 · 5624266123

99 certified beds For profit - Limited Liability company Chain: Aspen Skilled Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $114,270 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$114,270 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 20
Serious harm & abuse 20% 30
Staffing 20% 68
Federal penalties 15% 7
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.243.48 min · 4.1 strong
RN hours / resident-day0.340.55–0.75
Weekend hours / resident-day3.88≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)4 · $114,270

Inspection citations (80 in the current record)

  • Immediate jeopardy · J April 3, 2026 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected April 17, 2026 · Quality of Life and Care

  • Potential for harm · D April 3, 2026 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected April 17, 2026 · Nursing and Physician Services

  • Actual harm · G August 1, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 24, 2025 · Quality of Life and Care

  • Potential for harm · D August 1, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 24, 2025 · Resident Rights

  • Potential for harm · D August 1, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2025

    Respond appropriately to all alleged violations.

    Corrected August 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 24, 2025 · Quality of Life and Care

  • Potential for harm · E August 1, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected August 24, 2025 · Quality of Life and Care

  • Potential for harm · D August 1, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 24, 2025 · Quality of Life and Care

  • Potential for harm · E August 1, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 24, 2025 · Nutrition and Dietary

  • Potential for harm · D August 1, 2025

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected August 24, 2025 · Quality of Life and Care

  • Potential for harm · E August 1, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected August 24, 2025 · Administration

  • Potential for harm · D August 1, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 24, 2025 · Infection Control

  • Potential for harm · E August 1, 2025

    Keep all essential equipment working safely.

    Corrected August 24, 2025 · Environmental

  • Potential for harm · E August 1, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 1, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected August 24, 2025 · Nursing and Physician Services

  • Potential for harm · D June 25, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · D June 25, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · D June 25, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 25, 2025 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · E May 16, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 6, 2025 · Resident Rights

  • Potential for harm · D May 16, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected June 6, 2025 · Environmental

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 3, 2026Fine$25,490
August 1, 2025Fine$36,767
October 3, 2024Fine$33,501
July 12, 2024Fine$18,512
July 12, 2024Payment Denial3 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056283 · certified since May 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.