Beachside Center for Rehabilitation and Nursing

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 8, 2023

  Based on observations, staff interviews, and review of facility records, the facility failed to maintain kitchen food distribution carts in a clean, safe, and sanitary manner for 3 of 5 food carts observed during lunch service to resident rooms. Failure to provide food services that meet standards of professional food service safety place residents at risk for possible illness. The findings include: On 9/8/23 at 12:10 pm, a tour of the facility was conducted during the lunch hour. Dietary staff were observed delivering beverages and meal trays to resident rooms on rolling food carts. On the 200 hallway, a two-tiered plastic rolling cart used to deliver lunch trays to that hall was observed to be stained and soiled. […]

• No harm, potential for more than minimal, patternF583Mar 28, 2024

  Based on observations, staff interviews, and facility policy and procedure review, the facility failed to ensure the residents' right to personal privacy and confidentiality of personal and medical records when facility forms and documents were left unsecured on the top of three (300 hall, 600 hall, and 700 hall) out of six medication carts and taped to the top of one (600 hall) of two nursing stations' counters where passersby could see them. The findings include: On 03/25/2024 at 8:40 AM, Licensed Practical Nurse (LPN) F left a paper form with names of residents on the top of the 300 hall medication cart not secured for privacy and confidentiality. […]

• No harm, potential for more than minimal, isolatedF695Feb 4, 2026

  Based on observations, interviews and record review, the facility failed to ensure that a resident who needed respiratory care, was provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan for two (Residents #96 and #154) of three residents reviewed for oxygen therapy. Neither resident was receiving oxygen at the flow rate ordered by their physicians.The findings include: 1.On 02/03/26 at 9:40 AM, Resident #96 was observed wearing a nasal cannula (NC) that was connected to an oxygen concentrator. The concentrator was set at a flow rate of 2.5 liters/minute. The resident stated he had been receiving a flow rate of 2 liters per minute and that he did not manipulate the oxygen flow rate. […]

• No harm, potential for more than minimal, isolatedF604Mar 28, 2024

  Based on interviews and record reviews, the facility failed to ensure that one (Resident #26) of 50 residents in the total sample, was free from any physical restraints imposed for purposes other than the resident's medical condition. Inappropriate use of restraints could result in injury, skin breakdown, asphyxia, and/or strangulation among other things. The findings include: On 03/25/24 at 2:25 p.m., Resident #26 was observed in bed with bruises on her chest and the left side of her face. Her bed was in low position with floor mats on both sides of the bed. She also had a scoop mattress and half siderails that were padded. She had crossed her left leg over her right leg and was resting it on the right siderail. A bandage was observed on the resident's left shin, dated 3/24/24. […]

• No harm, potential for more than minimal, isolatedF695Mar 28, 2024

  Based on observations, staff interviews, record review, and facility policy review, the facility failed to ensure that residents who required respiratory care received such care consistent with professional standards of practice for three (Residents #110, #146, and #150) of 25 residents who required oxygen therapy from a total sample of 50 residents. failed to ensure that physicians' orders for respiratory care were followed as prescribed, and when not followed, the reasons were recorded in the residents' medical record during that shift for three (Residents #110, #146, and #150) of 25 residents requiring oxygen therapy, from a total sample of 50 residents. The findings include: 1. On 3/25/2024 at 10:18 am, Resident #110 was observed lying in bed wearing a nasal cannula. […]