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NURSING HOME INSPECTION REPORT

Ocean Ridge Post Acute in Long Beach: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

Beverly Law
Published by Beverly Law
3850 E Esther St, Long Beach · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 8 state citations for Ocean Ridge Post Acute since 2023, including 0 Class AA and 2 Class A, and 4 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious state action was a Class A citation (Patient Care), penalty $20,000, issued October 11, 2023. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date.

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Ocean Ridge Post Acute at a glance: owner, beds and ratings

Address
3850 E Esther St, Long Beach, CA 90804
CDPH license / facility ID
940000065 / 940000023
Medicare CCN
056378
Licensed beds
99
Licensee (CDPH)
ALAMITOS RIDGE HEALTHCARE, LLC
Chain / affiliated entity (CMS)
PACS Group (chain or affiliated entity listed by CMS)
Administrator of record
Sisco, Chad J
CMS overall rating
3 of 5 stars
CMS staffing rating
2 of 5 stars
Nurse staffing (CMS)
4.05 reported nurse hours per resident per day*
CMS fines (last 3 years)
$58,032
CMS abuse icon
Not shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

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Ocean Ridge Post Acute citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
April 8, 2026State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
February 23, 2026Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
November 13, 2025State (CDPH)Administrative Penalty (DHPPD: 2 – 11 Days), penalty $25,000Government record (CDPH) ↗
October 9, 2025State (CDPH)Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000Government record (CDPH) ↗
January 17, 2025State (CDPH)Class B citation (Other), penalty $3,000Government record (CDPH) ↗
January 17, 2025State (CDPH)Class B citation (Other), penalty $3,000Government record (CDPH) ↗
April 8, 2024Federal (CMS-2567), Federal MonitoringF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
February 6, 2024Federal (CMS-2567), CertificationF600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern)
Abuse
Government record (CDPH) ↗
February 2, 2024State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
December 13, 2023Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
October 11, 2023State (CDPH)Class A citation (Patient Care), penalty $20,000
Read what inspectors found ↓
Government record (CDPH) ↗
September 15, 2023State (CDPH)Class A citation (Patient Care), penalty $25,000
Read what inspectors found ↓
Government record (CDPH) ↗
Show 3 older findings
DateSourceFindingRecord
August 15, 2023Federal (CMS-2567), ComplaintF580 – Notify of Changes (Injury/Decline/Room, etc.), severity G (actual harm, one or a few residents)
Read what inspectors found ↓
Government record (CDPH) ↗
August 1, 2023Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
F698 – Dialysis, severity J (immediate jeopardy, one or a few residents)
F600 – Free from Abuse and Neglect, severity E (no actual harm, potential for more than minimal harm, pattern)
Abuse
Read what inspectors found ↓
Government record (CDPH) ↗
March 31, 2023Federal (CMS-2567), ComplaintF880 – Infection Prevention & Control, severity H (actual harm, a pattern)
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Ocean Ridge Post Acute

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
April 2024: F689 (severity G) after repeated falls by a resident under one-to-one supervision

During an April 2024 federal monitoring survey, inspectors found the facility did not provide adequate supervision to three of six residents reviewed for accident hazards. According to the 2567 report, Resident 67 had a physician's order from November 2023 for a one-to-one sitter, and staff described the resident as a high fall risk. The report lists falls with injury while that supervision was in place, including cut lips, cuts to both eyebrows, a broken nose, a large hematoma (a pool of clotted blood) on the forehead and two subdural hematomas (bleeding near the brain), the second on top of the first.

Inspectors found that on February 29, 2024, the assigned sitter, CNA 45, left the resident alone to use the bathroom and then heard a loud noise. The resident was found on the floor and sent to a hospital. The director of nursing told inspectors no incident reports were filed for the unwitnessed falls and, asked how they happened under one-to-one supervision, said, "I'm not sure." On April 11, 2024, the surveyor saw the sitter charting in the hallway with the bed curtain closed and the resident out of view.

The report also states Resident 62, who had severe cognitive impairment and a history of falls, was found with the bed raised instead of in a low position, and a non-slip wheelchair cushion was not ordered until April 2024. Inspectors observed CNA 33 move Resident 3 alone with a mechanical lift, although facility policy requires two staff. The deficiency was cited as F689 (accident hazards and supervision) at severity G.

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October 2023: Class A citation and F580 (severity G) after abnormal lab results were not followed up

In August 2023, CDPH investigated a complaint and found that licensed nurses did not follow up when a physician failed to respond to abnormal blood test results. According to the citation, Resident 1 was an 86-year-old man with kidney disease and diabetes who had an indwelling urinary catheter (a tube that drains urine). On November 5, 2021, his white blood cell count was 15.90, above the normal range. The results were faxed to the physician that day and again on November 6, with no documented response.

The department determined that nurses did not call the medical director when the physician did not respond within an hour, as two facility policies required. Inspectors found a STAT urine test and new blood work were not ordered until November 10, and by November 11 the white count had risen to 20.51. IV antibiotics were then ordered, but on November 12 the resident was sent to an acute care hospital with bleeding from the urethra and a white count of 45.0. According to the citation, the hospital diagnosed severe sepsis (a life-threatening reaction to infection), septic shock, a bladder infection and acute kidney failure. He was later treated at a second hospital for a Klebsiella urinary tract infection.

LVN 1 told inspectors she did not recall whether she notified the physician of the November 5 results. According to the citation, the assistant director of nursing said the medical director should be called when a physician does not answer within 30 minutes. CDPH issued a Class A citation with a $20,000 penalty, and the federal 2567 report cited F580 (notification of changes) at severity G.

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September 2023: Class A citation, F698 (severity J), F600 (severity E) and F609 (severity D) after missed dialysis

CDPH visited the facility on August 1, 2023, to investigate a facility-reported allegation of resident-to-resident abuse and found problems with dialysis care. According to the citation, Resident 1, a 56-year-old man with end stage kidney disease and heart failure, needed hemodialysis (a treatment that filters waste from the blood) every Tuesday, Thursday and Saturday. He refused dialysis on July 15, 2023. Inspectors found the facility did not hold an interdisciplinary team meeting about the refusal and did not tell the dialysis center.

The department determined staff also did not get Resident 1 to his July 18 appointment. LVN 2, the day nurse, told inspectors she asked the resident whether he had gone and did not check the dialysis communication forms. She learned from the dialysis center on July 19 that he had missed it. The night nurse did not report the missed treatment, and the physician was not told. According to the citation, Resident 1 had a change of condition and died on July 19, 2023, after six days without dialysis. Nursing notes show staff started CPR that morning before paramedics took over.

CDPH issued a Class A citation with a $25,000 penalty. The 2567 report cited F698 (dialysis) at severity J and states the facility's immediate jeopardy removal plan included reviewing the records of all dialysis residents and training nurses to notify dialysis centers of refusals. Inspectors also cited F600 at severity E because Resident 1 threatened his roommate and struck another resident while unsupervised, and F609 at severity D because the facility reported a verbal abuse allegation against a CNA the next day instead of within two hours.

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March 2023: F880 (severity H) after delays in responding to a possible scabies outbreak

Inspectors investigating a complaint in March and April 2023 found the facility did not follow infection control steps to stop a possible scabies outbreak (a contagious skin infestation by mites that causes intense itching). According to the 2567 report, a CNA told the facility on March 27, 2023, that she had tested positive for scabies, and the infection preventionist said she did not learn of it until public health called on March 30. Two roommates on the subacute unit, Resident 1 and Resident 2, had rashes.

The report states a public health epidemiologist recommended on March 31 that the facility do skin scrapings and treat all 87 residents and the staff with permethrin within 24 hours. Inspectors found the facility had no skin scraping kits, the dermatologist was not available and the pharmacy did not have enough cream. By April 5, only 20 residents on the subacute unit had been treated, and residents on the skilled nursing unit had not. Inspectors saw no contact precaution signs or protective equipment carts outside affected rooms, and a CNA entered a resident's room without protective gear.

According to the report, the facility kept no line list of cases, did not deep clean the two shower rooms or rooms with suspected cases, and did not treat staff on the day shift of April 3 and 4. Inspectors identified five residents with possible symptoms, including a new rash found on April 2. The deficiency was cited as F880 (infection prevention and control) at severity H.

↑ Back to this finding in the timeline

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Complaints against Ocean Ridge Post Acute

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
202340251525
202427151214
20259901
20265410

Cal Health Find lists 81 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 40 of them. 28 intakes involved an allegation in CDPH’s abuse category, and 9 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

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Sexual abuse reports at Ocean Ridge Post Acute

Cal Health Find lists no complaint or facility-reported incident for Ocean Ridge Post Acute from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse. That covers only what was reported to the state; if you suspect sexual abuse, report it even if nothing appears here.

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

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Staffing at Ocean Ridge Post Acute

Payroll records Ocean Ridge Post Acute filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.05 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.27 hours per resident per day (California average 0.68). Staffing averaged 3.75 hours on weekends and 4.17 on weekdays.

CMS reports nursing staff turnover of 43.3% at this facility (California average 36.6%).

California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Ocean Ridge Post Acute was below 3.5 on 0 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.

Ocean Ridge Post AcuteLA County medianCalifornia average
Total nursing hours per resident per day4.054.324.54
RN hours per resident per day0.270.460.68
Weekend nursing hours per resident per day3.753.894.10
Nursing staff turnover43.3%34.1%36.6%

Compare staffing, profits and fines across Los Angeles County nursing homes →

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Who owns Ocean Ridge Post Acute

The owners and operators below are listed for Ocean Ridge Post Acute in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.

Owner or operatorRoleShareSince
Timothy GreenwoodOperational or managerial control–November 16, 2023

In its annual report to the California Department of Health Care Access and Information (HCAI) for the year ending December 31, 2025, the facility listed $1.0 million in payments to related companies (businesses that share owners or management with the facility): $1.0 million to PACS for support services. Payments to related companies are legal; California requires nursing homes to disclose them.

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Ocean Ridge Post Acute finances

Ocean Ridge Post Acute reported $19.7 million in health care revenue and net income of $2.1 million for the year ending December 31, 2025, a margin of 10.6%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 63% of resident days. Salaries for RNs, LVNs and nurse aides came to $4.0 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$16.1 million-$457,097-2.8%90%–
2024$16.1 million-$601,321-3.7%92%65%
2025$19.7 million$2.1 million10.6%95%63%

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Federal fines and penalties: Ocean Ridge Post Acute

CMS lists 1 federal fine totaling $58,032 and 0 Medicare payment denials for Ocean Ridge Post Acute in the roughly three years its penalty file covers.

DatePenaltyAmount or length
April 12, 2024Fine$58,032

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Ocean Ridge Post Acute lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Ocean Ridge Post Acute is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.

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What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

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What to do now

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Questions families ask

Has Ocean Ridge Post Acute been cited by the State of California?

Cal Health Find lists 8 state citations for Ocean Ridge Post Acute since 2023, including 0 Class AA and 2 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Ocean Ridge Post Acute?

From 2023 through October 30, 2026, Cal Health Find lists 81 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 40 of them.

Does Medicare flag Ocean Ridge Post Acute for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for Ocean Ridge Post Acute. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at Ocean Ridge Post Acute?

Cal Health Find lists no complaint or incident at Ocean Ridge Post Acute since 2023 that included an allegation CDPH classified as sexual abuse. That reflects only what was reported to the state.

Where can I read reviews and complaints about Ocean Ridge Post Acute?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does Ocean Ridge Post Acute have?

Ocean Ridge Post Acute is licensed by CDPH for 99 beds and has a CMS overall rating of 3 out of 5 stars.

Who owns or operates Ocean Ridge Post Acute?

CDPH lists the licensee as ALAMITOS RIDGE HEALTHCARE, LLC. CMS lists the facility under the chain or affiliated entity PACS Group. The CMS ownership file lists Greenwood, Timothy among the owners or operators. The full list is in the ownership section of this page.

How many nursing hours does Ocean Ridge Post Acute provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.05 total nursing hours per resident per day, including 0.27 RN hours. The California average is 4.54.

My parent was hurt at Ocean Ridge Post Acute. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

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Other nursing homes near Ocean Ridge Post Acute

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Coral Cove Post AcuteLong Beach0.1 mi1/578
Marlora Post Acute Rehabilitation HospitalLong Beach0.4 mi1/512
Shoreline Healthcare CenterLong Beach0.4 mi3/533
Pacific Palms HealthcareLong Beach0.6 mi2/511
Bel Vista Healthcare CenterLong Beach0.8 mi5/512
Courtyard Care CenterSignal Hill1.1 mi3/500

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Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – Ocean Ridge Post Acute
  2. Medicare Care Compare – Ocean Ridge Post Acute
  3. CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
  4. CMS – Nursing home Provider Information (staffing, turnover)
  5. CMS – Nursing home Ownership
  6. CMS – Nursing home Penalties
  7. HCAI – Long-Term Care Facility Financial Data
  8. CDPH – State Enforcement Actions (open data)
  9. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

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