Beach Gardens Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Beach Gardens Rehabilitation and Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Nov 10, 2021

  Based on observation, interview and record review, the facility failed to ensure food was prepared in accordance with professional standards of food safety. Specifically, (1) staff were observed not performing hand hygiene during food preparation; (2) meat was observed thawing in a sink without cold running water; (3) bulk items were not dated with open and use by dates and containers/lids were not clean; (4) bulk thickening agent being used after the best used by date. This was evident for the Kitchen Observation. […]

• No harm, potential for more than minimal, patternF584Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment to the residents. This was evident in three (3) (2nd, 3rd, and 4th Floors) of 4 units observed. Specifically, residents' closets were in disrepair; resident wheelchairs were dirty; feeding pumps and poles were observed with feeding stains; curtains had dirt; walls had missing paint; and floors were stained and dirty. The findings include but is not limited to: The facility's policy titled Environment Services with a last reviewed date of 04/25/2025 stated it is the policy of the facility to ensure that all residents' rooms are comfortable, cleaned, and sanitized according to set standards to maintain a safe sanitary and comfortable homelike environment. […]

• No harm, potential for more than minimal, patternF609Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to report all alleged violations involving neglect, abuse, and/or including injuries of unknown source to the State Survey Agency. This was evident in two (2) (Residents #154 & #46) of five (5) residents reviewed for Abuse out of 35 total sampled residents. Specifically, 1.) on 07/09/2025, Resident #154 was observed with a black and blue discoloration on their right eye. The resident was cognitively impaired and could not explain how the injury occurred. There was no witness to how the resident sustained the injury. This incident was not reported to the New York State Department of Health. […]

• No harm, potential for more than minimal, patternF812Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. This was evident during the kitchen and food service observations. This was evident during the kitchen and food service observation. Specifically, 1.) Dietary staff were observed not properly wearing hair restraint while in the kitchen; 2.) Expired enteral feedings were stored on the unit and by the security area; and 3.) Cold sandwiches were not stored at a safe temperature. The findings include: The facility policy on Dress Code with a revised date of 08/11/2025 documented all employees when working in the dietary department will wear a hairnet / hair restraint as per policy. […]

• No harm, potential for more than minimal, patternF921Aug 14, 2025

  Based on observation, record review, and interviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public. This was evident during environmental observation. Specifically, the visitor's waiting area by the security desk had a hole on the baseboard, had cobwebs, debris on top of the air-conditioning unit; staff bathrooms had a hole in the wall and black colored stain on the floor; and resident's bathroom was out of order. […]