Pacific Care Nursing Center
3355 Pacific Place · Long Beach, CA · 90806 · 5625954336
99 certified beds For profit - Limited Liability company Chain: The Mandelbaum Family
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $48,365 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 5.35 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 3 · $100,013 |
Inspection citations (67 in the current record)
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Potential for harm · D February 4, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 27, 2026 · Infection Control
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Potential for harm · E August 21, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 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 15, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · E July 18, 2025
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 August 15, 2025 · Quality of Life and Care
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Potential for harm · E July 18, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Observe each nurse aide's job performance and give regular training.
Corrected August 15, 2025 · Nursing and Physician Services
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Potential for harm · E July 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · D July 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · E July 18, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · D July 18, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 15, 2025 · Administration
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Potential for harm · E July 18, 2025
Provide and implement an infection prevention and control program.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D July 18, 2025
Implement a program that monitors antibiotic use.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D July 18, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D March 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 14, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 31, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 24, 2025 | Fine | $17,215 |
| December 2, 2024 | Fine | $31,150 |
| October 9, 2023 | Fine | $51,648 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056007 · certified since November 7, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.