Beachside Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 26, 2023

  Based on interview and record review, the facility failed to provide supervision, one to one monitoring (1:1 monitoring- when an individual staff member is assigned to directly supervise no more than one resident and the staff shall stay within very close proximity to ensure constant supervision and immediate intervention if needed for safety reasons) for one of one sampled resident (Resident 1) by failing to: 1. Ensure Resident 1 who had history of delusional disorder (characterized by one or more firmly held false beliefs that persist for at least one month), received 1:1 monitoring when the Psychiatric (mental illness) Emergency Teams ([PET] mobile team operated by psychiatric hospital to perform evaluations for involuntary detention of individuals determined to be at risk of harming… […]

• Actual harm, isolatedF689Apr 25, 2023

  Based on observation, interview and record review, the facility failed to ensure a Certified Nursing Assistant (CNA 1) provided a resident, who was asleep and who had impaired cognitive (thinking, reasoning, remembering, imagining, learning words, and using language) skills for daily decision-making, assistance with breakfast set up, thus failing to identify the hot water, left on Resident 2 ' s overbed table, as a potentially hazardous element, for one of three sampled residents (Resident 2). The facility failed to: 1. Ensure CNA 1 did not leave an unattended cup of hot water, used to make Resident 2 ' s tea, on Resident 2 ' s overbed table when the resident was not fully awake, without warning Resident 2 of the potential danger of the hot water. 2. […]

• Actual harm, isolatedF550Apr 7, 2023

  Based on interview and record review, the facility failed to honor resident's preferences, maintain resident's dignity, and clarify end of life wishes for three of four sampled residents (Residents 1, 2 and 3). The facility failed to: 1. Ensure Resident 1's Physician's Order for Life-Sustaining Treatment (POLST) indicating Do Not Resuscitate ([DNR] when the heart stops beating, or a person stops breathing, there are no rescue measures taken, including cardiopulmonary resuscitation [CPR] an emergency lifesaving procedure that is done when someone's breathing or heartbeat has stopped) was honored and carried out when the resident became unresponsive and went into cardiac arrest (when the heart suddenly stops beating). 2. […]

• Actual harm, isolatedF740Mar 26, 2023

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) was provided necessary behavioral health care and services for treatment of the resident ' s emotional and mental condition by ensuring: 1. Resident 1 who verbalized feeling depressed (serious mood disorder) for approximately five (5) months was assessed, monitored, and provided intervention to addressed Resident 1 ' s symptoms of depression. 2. Physician, psychiatrist (a physician who specializes in psychiatry, the branch of medicine devoted to the diagnosis, prevention, study, and treatment of mental disorders), psychiatrist nurse practitioner, and interdisciplinary team ([IDT]-comprises professionals from various disciplines who work in collaboration to address a patient with… […]

• No harm, potential for more than minimal, widespreadF812Dec 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure the kitchen dishwasher temperature gauge was functioning properly. This failure had the potential to expose residents to dishes washed at unsafe temperatures, which could promote bacterial growth and increase the risk of foodborne illness (illness caused by food contaminated with bacteria, viruses, parasites, or toxins )Findings:During a concurrent observation and interview on 12/16/2025 at 9:03 a.m. in the kitchen with Dietary Aide (DA 1), a low-temperature dishwasher was observed being used to wash dishes. DA 1 stated the wash temperature gauge displayed 120 degrees Fahrenheit ( F- unit of temperature). However, a photo taken of the gauge at that time showed the temperature reading was 95 F. […]