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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Bixby Towers at Bixby Knolls is ranked one of Long Beach’s best retirement communities, entrusted by many to have their loved ones or themselves live in. The active adult apartment-style environment offers independent living and assisted living services, allowing residents to feel like family and feel comfortable thriving in a community that puts their needs first. At Bixby Knolls, individuals are guaranteed an individualized approach to care that helps create a rich and fulfilling lifestyle.
The active adult community is built on the seamless blend of independence and support, allowing its residents to take advantage of the wonderful Southern California living offered by its luxurious community features. These include an expansive courtyard, hotel-like apartments with breathtaking views, 24-hour care with an emergency call system, a grand restaurant-style dining room, a private dining room, a library, a wellness center, a patio, and an outdoor grill.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 79th out of 345 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 7m per day | ■ Avg State avg: 4h 4m per day · National avg: 3h 25m per day |
Similar to the California average: 72.8%Bay Towers at Bixby Knolls is legally operated by Atlantic Ave Holdings Llc;ca Sr Lvg Mgmt Llc, and administrated by Don Mcdonald.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
3 points above the California average for nursing homes (81/100)
Inspection score: 84 out of 100. Letter grade B. 3 points above the California average for nursing homes (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 10 | This facility has 10% more total citations than a typical California nursing home (11 vs. CA avg 10).↑ 10% worse |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 0 | 3 | This facility has 100% fewer serious citations (type a) than a typical California nursing home (0 vs. CA avg 3).↓ 100% better Rank #1 / 1164 Serious citations (Type A) — State benchmarked This home is ranked 1st out of 1164 homes in California. Shows this facility's # of serious citations compared to the California average among 1164 comparable communities in the ranking pool. |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 11 | 4 | This facility has 175% more moderate citations (type b) than a typical California nursing home (11 vs. CA avg 4).↑ 175% worse |
|
Citations per year
Average citations per year since 2022.
| 2.8 | 2.5 | This facility has 12% more citations per year than a typical California nursing home (2.8 vs. CA avg 2.5).↑ 12% worse |
|
Citations per inspection
Average citations per inspection.
| 0.6 | 3.3 | This facility has 82% fewer citations per inspection than a typical California nursing home (0.6 vs. CA avg 3.3).↓ 82% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 18 | 16 | This facility has 13% more total visits than a typical California nursing home (18 vs. CA avg 16).↑ 13% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 9 | 13 | This facility has 31% fewer complaint visits than a typical California nursing home (9 vs. CA avg 13).↓ 31% better Rank #814 / 1397 Complaint visits — State benchmarked This home is ranked 814th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 6 | 7 | This facility has 14% fewer other visits than a typical California nursing home (6 vs. CA avg 7).↓ 14% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 3 | 4 | This facility has 25% fewer official inspections than a typical California nursing home (3 vs. CA avg 4).↓ 25% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 6 | 10 | This facility has 40% fewer complaint investigations than a typical California nursing home (6 vs. CA avg 10).↓ 40% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
California average 12.5
Last Health inspection on Oct 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
41 of 81 citations resulted from standard inspections; 37 of 81 resulted from complaint investigations; and 3 of 81 came from combined inspections (standard and complaint).
400% worse than California averageCalifornia average: 0.4
200% worse than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% more staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
38 total: 29 full-time employees and 9 contractors.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
107 total: 80 full-time employees and 27 contractors.
107
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
985 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 80 | 27 | 107 | 21,630 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 29 | 9 | 38 | 9,329 | 92 | 100% | 7.7 |
| RN Director of Nursing | 4 | 0 | 4 | 1,920 | 64 | 70% | 8 |
| Registered Nurse | 9 | 0 | 9 | 1,842 | 91 | 99% | 7.5 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,089 | 73 | 79% | 7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,003 | 67 | 73% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 954 | 86 | 93% | 7.9 |
| Physical Therapy Aide | 6 | 0 | 6 | 914 | 73 | 79% | 6.7 |
| Physical Therapy Assistant | 4 | 0 | 4 | 647 | 69 | 75% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 559 | 67 | 73% | 8.3 |
| Dietitian | 1 | 0 | 1 | 515 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 487 | 63 | 68% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 438 | 56 | 61% | 7.8 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
98% higher than California averageCalifornia average: $55K
27% more fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
102% more payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 12, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.4
18% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.3
9% better than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
16% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
5.6%
53% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.9%
41% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
16% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
6.0%
21% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
4.9%
17% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
3.8%
43% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
1.1%
89% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
17% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
91% of new residents, usually for short-term rehab.
2% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
84Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Bay Towers at Bixby Knolls based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #306 / 346Payroll — State benchmarkedThis home is ranked 306th out of 346 homes in California for payroll. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: 1 Bed / 2 Bed
Building Type: High-rise
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
4.4 miles from city center
Estimated distance in miles from Long Beach's city center to Bay Towers at Bixby Knolls's address, calculated via Google Maps.
— 5.01 miles to nearest hospital (Va Long Beach Healthcare Psy)
Add your location
Bay Towers at Bixby Knolls is located in Long Beach, California.
Here are the financial assistance programs available to residents in California.
Bay Towers at Bixby Knolls is in the California Heights neighborhood of Long Beach.
The legal owner and operator of Bay Towers at Bixby Knolls is Atlantic Ave Holdings Llc;Ca Sr Lvg Mgmt Llc.
Bay Towers at Bixby Knolls has a walk score of 90. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Bay Towers at Bixby Knolls's occupancy is 69%.
Yes — see the floorplan options available at Bay Towers at Bixby Knolls on this page.
Don McDonald is the administrator of Bay Towers at Bixby Knolls.
Bay Towers at Bixby Knolls has 65 beds.
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