Beach Creek Post-Acute

In the surveyor’s words

From the most serious findings on record at Beach Creek Post-Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF886Feb 9, 2021

  Based on interview, record review, and review of the facility's policy, the facility failed to ensure staff were tested twice a week per the county positivity rate for the first week of February 2021. This failure had the potential to increase the risk of spreading COVID-19 in the facility and affect all residents and staff of the facility who had not tested positive for COVID-19 in the past 90-days. Findings include: Review the Centers for Medicare and Medicaid Services (CMS) website titled COVID-19 Nursing Home Data, revealed the following county positivity rate and color for the week ending January 27th, 2021 was 12.3%-Red; which indicated staff was to be tested twice a week. […]

• No harm, potential for more than minimal, patternF695Jan 26, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary respiratory care services for six of six of final sampled (Residents 1, 2, 6, 9, 121, and 131) and five non-sampled residents (Residents 24, 26, 52, 66, 115) reviewed for respiratory care. * The facility failed to administer oxygen to Resident 24 per the physician's order. * The facility failed to administer oxygen to Resident 66 per the physician's order. In addition, the facility failed to ensure the set-up bag for the nasal cannula for Resident 66 was changed every seven days. * The facility failed to ensure the nasal cannula tubing and oxygen concentrator near Resident 2's bed was hers and not her roommate's. […]

• No harm, potential for more than minimal, patternF812Jan 26, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen. * The facility failed to ensure the proper labeling and dating of the foods in the kitchen was utilized once the food item was opened. * The facility failed to ensure the kitchen utensils and equipment were stored or kept in sanitary conditions. * The facility failed to ensure the food preparation equipment was in good condition. *The facility failed to ensure a dented can was removed. *The facility failed to ensure the resident food refrigerator was clean. […]

• No harm, potential for more than minimal, patternF812Mar 7, 2023

  Based on observation, interview, and facility document review, the facility failed to ensure the sanitary requirements were met in the kitchen as evidenced by the following: * The facility failed to ensure the cutting boards were in sanitary condition and with cleanable surface. * The facility failed to ensure the robot coupe blender used for puree preparation was air dried prior to storing. * The facility failed to ensure the silver metal chopper was clean and free of food particles. * The facility failed to ensure the kitchen utensils had a smooth cleanable surface and not worn out. […]

• No harm, potential for more than minimal, isolatedF600Aug 18, 2026

  Based on interview, medical record review, and facility P&P review, the facility failed to protect the residents' right to be free from physical abuse for one of three sampled residents (Resident 2). * Resident 1 was waiting in line at the nursing station for medication when Resident 2 stepped in front of Resident 1. A verbal altercation occurred between Residents 1 and 2, after which Resident 2 struck Resident 1 on the left side of his face. This failure to prevent physical abuse had the potential to result in serious injury and/or psychosocial harm to the resident. […]