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NURSING HOME INSPECTION REPORT

Beachside Post Acute in Torrance: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
22520 Maple Ave, Torrance · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 6 state citations for Beachside Post Acute since 2023, including 1 Class AA and 1 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 AA citation (Patient Care), penalty $115,000, appealed by the facility, issued May 10, 2023. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date. Cal Health Find also lists 1 complaint or incident report since 2023 that included a sexual abuse allegation; CDPH substantiated 0.

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Beachside Post Acute at a glance: owner, beds and ratings

Address
22520 Maple Ave, Torrance, CA 90505
CDPH license / facility ID
910000092 / 910000071
Medicare CCN
055531
Licensed beds
110
Licensee (CDPH)
TORRANCE POST ACUTE, LLC
Chain / affiliated entity (CMS)
Abraham Bak & Menachem Gastwirth (chain or affiliated entity listed by CMS)
Administrator of record
Pangilinan, Violeta
CMS overall rating
5 of 5 stars
CMS staffing rating
4 of 5 stars
Nurse staffing (CMS)
4.29 reported nurse hours per resident per day*
CMS fines (last 3 years)
$0
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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Beachside 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
June 30, 2025State (CDPH)Class B citation (Other), penalty $3,000Government record (CDPH) ↗
May 19, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
June 4, 2024Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
May 10, 2023State (CDPH)Class AA citation (Patient Care), penalty $115,000, appealed by the facility
Read what inspectors found ↓
Government record (CDPH) ↗
May 10, 2023State (CDPH)Class A citation (Patient Care), penalty $0, appealed by the facility
Read what inspectors found ↓
Government record (CDPH) ↗
March 21, 2023Federal (CMS-2567), ComplaintF740 – Behavioral Health Services, severity G (actual harm, one or a few residents)
F689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
March 21, 2023Federal (CMS-2567), ComplaintF550 – Resident Rights/Exercise of Rights, severity G (actual harm, one or a few residents)
Read what inspectors found ↓
Government record (CDPH) ↗
January 18, 2023Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Beachside Post Acute

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

·
May 2023: Class AA citation, F689 (severity J) and F740 (severity G) after a resident on a psychiatric hold died

According to the citation, CDPH received a facility-reported incident on March 20, 2023, about Resident 1, an 86-year-old man, and made an unannounced visit the next day. The citation states that on March 18, 2023, a psychiatric emergency team found Resident 1 to be a threat to others and placed him on a 5150 hold (a 72-hour involuntary psychiatric hold). He had been kicking and striking out at staff. He was waiting to be transferred to an acute care hospital under that hold.

CDPH found the facility did not place Resident 1 on one-to-one monitoring, in which one staff member stays close by to supervise a single resident at all times, and did not monitor him while the transfer was pending. According to the citation, RN 1 said Resident 1 should have been on one-to-one monitoring. CDPH also found the facility had not developed or implemented a policy and procedure for handling a resident placed on a 5150 hold. The 2567 report states Resident 1 had threatened staff with a knife about eight hours before his death.

According to the citation, CNA 1 found Resident 1 at 1:00 a.m. on March 19, 2023. Staff started CPR and called 911, and paramedics pronounced him dead at 1:57 a.m. The 2567 report states he died by suicide. CDPH issued a Class AA citation with a $115,000 penalty. The related federal survey cited F689 (severity J), which covers accident hazards and supervision, and F740 (severity G), which covers behavioral health services.

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May 2023: Class A citation, F740 (severity G) and F689 (severity J) over care for a resident's reported depression symptoms

According to the citation, CDPH investigated a facility-reported incident received on March 20, 2023, concerning Resident 1, an 86-year-old man who died by suicide. Paramedics pronounced him dead on March 19, 2023, at 1:57 a.m. This citation addresses the behavioral health care he received in the months before.

CDPH found that mood screenings (the PHQ-9, a nine-question interview that screens for depression) done on October 25, 2022, January 23, 2023, and February 20, 2023, recorded that Resident 1 felt down, depressed or hopeless and felt bad about himself on half or more of the days, and later nearly every day. According to the citation, he described these feelings for about five months, but the facility did not assess, monitor or provide interventions for his depression symptoms and did not develop a care plan to address them. Social service assessments also noted he spent most of his time alone and rejected care daily.

Inspectors found the physician, psychiatrist, psychiatric nurse practitioner and interdisciplinary team were not notified. The social service assistant who did the screenings told inspectors she was not sure she told the nurses, did not document notifying anyone, and did not recall notifying the physician or psychiatrist. The director of nursing told inspectors the facility had three different social services directors between December 2022 and March 2023. CDPH issued a Class A citation and assessed a $25,000 penalty, which the facility appealed. The federal survey cited F740 (severity G) and F689 (severity J).

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March 2023: F550 (severity G) after a resident's do-not-resuscitate order was changed during an emergency

The 2567 report states the facility did not honor residents' preferences or clarify their end-of-life wishes for three of four sampled residents. According to the report, Resident 1 was admitted on October 1, 2022, with chronic obstructive pulmonary disease (COPD, a lung disease that makes breathing hard) and heart failure. Her POLST (Physician Orders for Life-Sustaining Treatment) from that day said Do Not Resuscitate (DNR), meaning no CPR. Her history and physical said she had the capacity to make her own decisions.

According to the report, on October 10, 2022, Resident 1 became unresponsive around 11:21 a.m., stopped breathing at 11:30 a.m., and staff started chest compressions. Paramedics arrived at 11:36 a.m. At 11:43 a.m., two licensed vocational nurses changed her POLST to Full Code after a phone call with a family member. Inspectors found that family member's power of attorney covered financial decisions, with no indication that medical decisions were assigned. The physician signed the new POLST on October 11, after Resident 1 died. Inspectors found she received CPR against her documented wishes, and staff sent a POLST showing Full Code to a hospital, where she was intubated (given a breathing tube). RN 1 told inspectors the facility should have followed the resident's wishes.

Inspectors also found conflicting code status orders for two other residents. Resident 2's POLST said DNR while the physician's orders said Full Code, and Resident 3's POLST said Full Code while the orders said DNR. The report states this put both at risk of having their end-of-life wishes violated. The facility was cited under F550 at severity G.

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January 2023: F689 (severity G) after a resident was burned by hot tea left on her table

The 2567 report states Resident 2 was admitted in November 2022 with dementia (progressive memory loss) and diabetes. According to the report, her assessment showed severely impaired decision-making and very poor vision, and said she needed extensive help from one person to eat. Her room was near the nursing station because of her confusion, fall risk and need for supervision.

Inspectors found that on January 18, 2023, around 7:30 a.m., CNA 1 placed her breakfast tray with a cup of hot water for tea on her overbed table while she was still half asleep, and left without setting up the tray or helping her drink. CNA 1 told inspectors he was last in the room around 7:40 a.m. and that it was not safe to leave hot tea with her when she was not fully awake. At 11:18 a.m., inspectors saw water on the floor, her clothes and blanket wet, and an empty mug on the table. She was screaming in pain and pointing to blisters on her right thigh. A cook checked the water from the coffee maker used for residents' hot water, and it read 167 degrees Fahrenheit.

According to the report, Resident 2 had a second-degree burn (red, blistered injury to the top two layers of skin) on her inner right thigh, with a blister measuring 5.5 by 2.8 centimeters. She needed a wound consultation and Silvadene cream (a burn medication) twice a day for seven days. Inspectors found staff did not follow the facility's safety and supervision policy. The facility was cited under F689 at severity G.

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Complaints against Beachside Post Acute

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20232722514
2024171256
2025161241
20265500

Cal Health Find lists 65 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 21 of them. 15 intakes involved an allegation in CDPH’s abuse category, and 4 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 Beachside Post Acute

Cal Health Find lists 1 intake for Beachside Post Acute from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (0 from complaints and 1 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 0 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.

YearIntakes with a sexual abuse allegationSubstantiated
202510

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 Beachside Post Acute

Payroll records Beachside Post Acute filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.29 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 0.65 hours per resident per day (California average 0.68). Staffing averaged 3.98 hours on weekends and 4.42 on weekdays.

CMS reports nursing staff turnover of 31.7% at this facility (California average 36.6%) and RN turnover of 25.0% (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, Beachside 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.

Beachside Post AcuteLA County medianCalifornia average
Total nursing hours per resident per day4.294.324.54
RN hours per resident per day0.650.460.68
Weekend nursing hours per resident per day3.983.894.10
Nursing staff turnover31.7%34.1%36.6%

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

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Who owns Beachside Post Acute

The owners and operators below are listed for Beachside 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
Kenneth Lehmann5% or greater direct ownership32%October 1, 2019
Abraham BakOperational or managerial control–April 9, 2019
Menachem GastwirthOperational or managerial control–April 9, 2019
Kenneth LehmannOperational or managerial control–April 9, 2019
Azhar MuttalibOperational or managerial control–June 1, 2023
Violeta PangilinanOperational or managerial control–October 16, 2023

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Beachside Post Acute finances

Beachside Post Acute reported $20.7 million in health care revenue and net income of $1.8 million for the year ending December 31, 2025, a margin of 8.7%, 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 62% of resident days. Salaries for RNs, LVNs and nurse aides came to $5.2 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$16.0 million$977,0576.1%92%–
2024$19.7 million$2.8 million14.2%96%62%
2025$20.7 million$1.8 million8.7%97%62%

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Beachside Post Acute lawsuits and criminal cases

We searched California Attorney General and Los Angeles County District Attorney announcements and news coverage for Beachside Post Acute and its licensee and found no public criminal case or civil lawsuit we could tie to this facility as of October 30, 2026. Many civil cases settle quietly or are not covered by the press, so this is not a complete court search.

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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 Beachside Post Acute been cited by the State of California?

Cal Health Find lists 6 state citations for Beachside Post Acute since 2023, including 1 Class AA and 1 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Beachside Post Acute?

From 2023 through October 30, 2026, Cal Health Find lists 65 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 21 of them.

Does Medicare flag Beachside Post Acute for abuse?

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

Have there been sexual abuse reports at Beachside Post Acute?

Cal Health Find lists 1 complaint or facility-reported incident intake at Beachside Post Acute since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 0. The section above breaks them down by year.

Where can I read reviews and complaints about Beachside 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 Beachside Post Acute have?

Beachside Post Acute is licensed by CDPH for 110 beds and has a CMS overall rating of 5 out of 5 stars.

Who owns or operates Beachside Post Acute?

CDPH lists the licensee as TORRANCE POST ACUTE, LLC. CMS lists the facility under the chain or affiliated entity Abraham Bak & Menachem Gastwirth. According to the CMS ownership file, Lehmann, Kenneth holds 32% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.

How many nursing hours does Beachside Post Acute provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.29 total nursing hours per resident per day, including 0.65 RN hours. The California average is 4.54.

My parent was hurt at Beachside 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 Beachside Post Acute

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Torrance Memorial Medical Center D/P SNFTorrance0.8 mi5/500
Del Amo Gardens Care CenterTorrance1.0 mi5/501
Torrance Care Center West, Inc.Torrance1.6 mi2/523
Bay Crest Care CenterTorrance1.6 mi1/567
The EarlwoodTorrance1.6 mi1/514
Driftwood Healthcare CenterTorrance1.6 mi1/501

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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 – Beachside Post Acute
  2. Medicare Care Compare – Beachside 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. HCAI – Long-Term Care Facility Financial Data
  7. CDPH – State Enforcement Actions (open data)
  8. 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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