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NURSING HOME INSPECTION REPORT

Shoreline Healthcare Center in Long Beach: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
4029 E Anaheim St, Long Beach · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 7 state citations for Shoreline Healthcare Center since 2023, including 0 Class AA and 3 Class A, and 3 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 $25,000, issued May 30, 2025. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date.

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Shoreline Healthcare Center at a glance: owner, beds and ratings

Address
4029 E Anaheim St, Long Beach, CA 90804
CDPH license / facility ID
940000057 / 940000042
Medicare CCN
055353
Licensed beds
75
Licensee (CDPH)
ROSE PARK HEALTHCARE ASSOCIATES, INC.
Chain / affiliated entity (CMS)
The Ensign Group (chain or affiliated entity listed by CMS)
Administrator of record
Ortiz Luis, Sheilla
CMS overall rating
3 of 5 stars
CMS staffing rating
3 of 5 stars
Nurse staffing (CMS)
4.37 reported nurse hours per resident per day*
CMS fines (last 3 years)
$41,629
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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Shoreline Healthcare Center 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
July 22, 2026State (CDPH)Class B citation (Other), penalty $3,000Government record (CDPH) ↗
March 2, 2026State (CDPH)Administrative Penalty (DHPPD: 12 – 24 Days), penalty $50,000Government record (CDPH) ↗
May 30, 2025State (CDPH)Class B citation (Patient Care), penalty $3,000Government record (CDPH) ↗
May 30, 2025State (CDPH)Class A citation (Patient Care), penalty $25,000
Read what inspectors found ↓
Government record (CDPH) ↗
May 30, 2025State (CDPH)Class A citation (Patient Care), penalty $25,000
Read what inspectors found ↓
Government record (CDPH) ↗
May 29, 2025State (CDPH)Class WMF>$1000 citation (Willful Material Falsification), penalty $3,500Government record (CDPH) ↗
April 14, 2025Federal (CMS-2567), CertificationF686 – Treatment/Svcs to Prevent/Heal Pressure Ulcer, severity G (actual harm, one or a few residents)
F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
F600 – Free from Abuse and Neglect, severity G (actual harm, one or a few residents)
F688 – Increase/Prevent Decrease in ROM/Mobility, severity G (actual harm, one or a few residents)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
AbusePressure injury ›
Read what inspectors found ↓
Government record (CDPH) ↗
November 8, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 5, 2023State (CDPH)Class A citation (Patient Care), penalty $25,000
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Shoreline Healthcare Center

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

·
May 2025: Class A citation and F686 (severity G) after a resident's heel wounds became unstageable pressure injuries

CDPH conducted an unannounced annual recertification survey beginning April 14, 2025. According to the citation, Resident 35 was admitted on March 23, 2025, after hip fracture surgery with a suspected deep tissue injury (SDTI, damage under skin that may look intact) on the right heel and a blister on the left heel. Hospital wound notes called for a pressure-relieving mattress or cushion, turning every two hours and offloading the heels.

CDPH found the facility did not document the left heel SDTI on admission or assess it weekly, did not refer her to a wound care practitioner, and did not provide offloading measures, such as a low air loss mattress and heel elevation, or supplements such as protein, zinc and vitamin C. According to the citation, staff did not notify the physician when the left heel blister was reclassified as an SDTI on March 26, or when the wound had a foul odor, eschar (dead tissue) and slough (yellow tissue) on April 14.

According to the citation, both heel wounds progressed to unstageable pressure injuries (bed sores covered by slough or eschar) by April 14, causing her pain. On April 17 she was admitted to an acute care hospital with a left heel unstageable pressure injury and treated with intravenous vancomycin for bacterial wound infections and morphine for pain. CDPH issued a Class A citation with a $25,000 penalty, and the related federal 2567 report cited F686 at severity G. The survey also cited F688 (range of motion and mobility) at severity G.

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May 2025: Class A citation and F600 (severity G) after a resident's alleged abuser entered her room

CDPH issued this citation after an unannounced annual recertification survey that began April 14, 2025. According to the citation, Resident 2, a 76-year-old woman, was admitted on March 15, 2025, after hospital treatment for bruising from physical abuse. On March 18 she told the care team she felt threatened by the alleged abuser (AA), a family member, and wanted no calls or visits from him. That day AA came to the facility, and police were called before he left.

CDPH found that on April 8, AA returned, pushed past the case manager and two other staff, and entered Resident 2's room during perineal care (washing of the genital area). According to the citation, he tried to pull open her privacy curtain while a licensed vocational nurse held it shut, and shouted at her to stop saying she did not want to see him. She was upset and tearful and shook her head no. Staff intervened, police were called and AA was escorted out.

According to the citation, the facility did not follow its abuse prevention policy to keep AA away after concluding his behavior reflected "family dynamics," and did not offer her a room change after the first incident. CDPH found she suffered emotional distress requiring a benzodiazepine (an anti-anxiety medication). CDPH issued a Class A citation with a $25,000 penalty. The related federal survey cited F600 (free from abuse and neglect) at severity G, and also F609 and F610 (reporting and investigating alleged violations), both at severity D.

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July 2023: Class A citation after a resident fell from a shower chair while left alone in a bathroom

CDPH investigated a facility-reported fall and fracture with an unannounced visit on October 26, 2022. According to the citation, Resident 1 was a 72-year-old man with a history of stroke and hemiplegia (paralysis on one side of the body), and his care plan called for two-person extensive assistance with toileting.

CDPH found that on October 7, 2022, CNA 2 left Resident 1 alone and unsupervised in the bathroom. According to the citation, he became frustrated when no one came to help, tried to leave the bathroom and fell from a shower chair. Staff heard him screaming for help at 3:45 p.m. and found him on the floor by the bathroom door. A restorative nursing assistant told inspectors staff should not leave him alone in the bathroom because he may try to do things beyond his capacity. CDPH found the facility did not implement his care plan or follow its policy on help with daily care.

According to the citation, a nurse practitioner noted he had no initial injury, and an X-ray of his right thigh bone on October 13 showed no fracture. He later complained of right hip and leg pain during physical therapy, and on October 22 he was sent to an acute care hospital, where a CT scan found an acute comminuted fracture (a bone broken in two places) of the fourth lumbar vertebra in the lower back. CDPH issued a Class A citation with a $25,000 penalty.

↑ Back to this finding in the timeline

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Complaints against Shoreline Healthcare Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20238534
20247701
202511923
202610824

Cal Health Find lists 36 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 12 of them. 7 intakes involved an allegation in CDPH’s abuse category, and 1 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 Shoreline Healthcare Center

Cal Health Find lists no complaint or facility-reported incident for Shoreline Healthcare Center 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 Shoreline Healthcare Center

Payroll records Shoreline Healthcare Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.37 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 0.53 hours per resident per day (California average 0.68). Staffing averaged 3.69 hours on weekends and 4.64 on weekdays.

CMS reports nursing staff turnover of 45.7% at this facility (California average 36.6%) and RN turnover of 33.3% (California average 37.8%).

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, Shoreline Healthcare Center was below 3.5 on 3 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.

Shoreline Healthcare CenterLA County medianCalifornia average
Total nursing hours per resident per day4.374.324.54
RN hours per resident per day0.530.460.68
Weekend nursing hours per resident per day3.693.894.10
Nursing staff turnover45.7%34.1%36.6%

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

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Who owns Shoreline Healthcare Center

The owners and operators below are listed for Shoreline Healthcare Center 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
Ensign Services IncOperational or managerial control–August 1, 2002
Sheilla Ortiz-LuisOperational or managerial control–January 1, 2017
Ben ZandpourOperational or managerial control–September 1, 2015

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 $1.3 million in payments to related companies (businesses that share owners or management with the facility): $669,581 to Ensign Services for home office – allowable admin; $297,000 to Standard Bearer Insurance for liability insurance; $147,921 to Standard Bearer Insurance for health insurance/workers comp.; $57,516 to Standard Bearer Insurance for health insurance/workers comp.. Payments to related companies are legal; California requires nursing homes to disclose them.

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Shoreline Healthcare Center finances

Shoreline Healthcare Center reported $13.4 million in health care revenue and net income of $1.6 million for the year ending December 31, 2025, a margin of 12.1%, 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 48% of resident days. Salaries for RNs, LVNs and nurse aides came to $2.9 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$10.6 million$941,8968.9%80%–
2024$12.7 million$1.5 million11.7%88%53%
2025$13.4 million$1.6 million12.1%86%48%

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Federal fines and penalties: Shoreline Healthcare Center

CMS lists 1 federal fine totaling $41,629 and 0 Medicare payment denials for Shoreline Healthcare Center in the roughly three years its penalty file covers.

DatePenaltyAmount or length
April 18, 2025Fine$41,629

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Shoreline Healthcare Center lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Shoreline Healthcare Center 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 Shoreline Healthcare Center been cited by the State of California?

Cal Health Find lists 7 state citations for Shoreline Healthcare Center since 2023, including 0 Class AA and 3 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Shoreline Healthcare Center?

From 2023 through October 30, 2026, Cal Health Find lists 36 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 12 of them.

Does Medicare flag Shoreline Healthcare Center for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for Shoreline Healthcare Center. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at Shoreline Healthcare Center?

Cal Health Find lists no complaint or incident at Shoreline Healthcare Center 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 Shoreline Healthcare Center?

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 Shoreline Healthcare Center have?

Shoreline Healthcare Center is licensed by CDPH for 75 beds and has a CMS overall rating of 3 out of 5 stars.

Who owns or operates Shoreline Healthcare Center?

CDPH lists the licensee as ROSE PARK HEALTHCARE ASSOCIATES, INC.. CMS lists the facility under the chain or affiliated entity The Ensign Group. The CMS ownership file lists Ensign Services Inc among the owners or operators. The full list is in the ownership section of this page.

How many nursing hours does Shoreline Healthcare Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.37 total nursing hours per resident per day, including 0.53 RN hours. The California average is 4.54.

My parent was hurt at Shoreline Healthcare Center. 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 Shoreline Healthcare Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Marlora Post Acute Rehabilitation HospitalLong Beach0.2 mi1/512
Pacific Palms HealthcareLong Beach0.3 mi2/511
Coral Cove Post AcuteLong Beach0.4 mi1/578
Ocean Ridge Post AcuteLong Beach0.4 mi3/524
Bel Vista Healthcare CenterLong Beach0.5 mi5/512
Alamitos Belmont Health and RehabilitationLong Beach0.8 mi3/523

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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 – Shoreline Healthcare Center
  2. Medicare Care Compare – Shoreline Healthcare Center
  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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