Beach Street Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF685Jun 18, 2026

  Based on interviews, record review, and a review of the facility's policies and procedures, the facility failed to ensure that residents received proper treatment and assistive devices to maintain vision and hearing abilities for one (Resident #23) of one resident reviewed for vision services. Resident #23's appointment for cataract surgery was delayed for seven weeks. Delaying cataract treatment as vision worsens can lead to permanent vision loss, an increased risk for falls and loss of independence. Resident #23 was not kept informed about the status of his surgery, which negatively impacted his psychosocial well-being. The findings include: During an interview on 06/16/2026 at 11:38 AM, Resident #23 reported having a cataract. […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2026

  Based on food service observations, staff interviews, facility documentation, and a review of the facility's policies and procedures, the facility failed to follow proper temperature documentation requirements for food safety to prevent bacterial growth and the outbreak of foodborne illness, with the potential to affect all residents who consumed foods from the facility. The facility failed to consistently monitor, verify, and document accurate operating temperatures and sanitizer concentrations for the mechanical dish machine. A malfunctioning dishwasher poses a significant health hazard. It can lead to bacterial cross-contamination and dangerous foodborne illness outbreaks. The findings include:A tour of the kitchen was conducted on 06/15/2026 at 11:20 AM. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2021

  Based on observations and interviews, the facility failed to keep the kitchen safe from potential food contamination due to a ceiling area under which food was being prepared and distributed, having gaps and hanging tape on it. The findings include: On 4/13/21 at 1:40 pm, the kitchen's ceiling was observed with open areas and gaps. Some piping was visible. There was tape hanging from an area between ceiling tiles. One ceiling tile had a plastic, sheet-like covering that was hanging loose and had opening on one side where it had been taped up. On 4/15/21 at 11:30 am, the same observations were made of the kitchen's ceiling with no changes. Staff were observed working under open areas of the ceiling while preparing food. […]

• No harm, potential for more than minimal, patternF582Jun 18, 2026

  Based on record reviews, interviews and a review of the facility's policies and procedures, the facility failed to provide a Notice of Medicare Non-Coverage (NOMNC), CMS (Centers for Medicare and Medicaid Services) Form 10123, to three (Residents #11, #28 and #72) of three residents reviewed for Beneficiary Notices, at least two days before the end of a Medicare covered Part A stay or when all of Part B therapies ended. This failure denied the beneficiaries' right to an expedited review by a Quality Improvement Organization. […]

• No harm, potential for more than minimal, patternF628Jun 18, 2026

  Based on record reviews, interviews, and a review of the facility's policies and procedures, the facility failed to provide transfer/discharge notification to the Long-Term Care (LTC) Ombudsman's office prior to or as soon as practicable for three (Residents #11, # 28 and #72) of four residents reviewed for transfer/discharge. Appropriate notification of the LTC Ombudsman's office provides added protection for residents from being inappropriately transferred or discharged , provides residents with access to an advocate who can inform them of their options and rights, and ensures that the LTC Ombudsman's office is aware of facility practices and activities related to transfers and discharges. […]