Beachwood Pointe Care Center

In the surveyor’s words

From the most serious findings on record at Beachwood Pointe Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Jun 3, 2022

  Based on observation, record review, interview, and facility policy review, the facility failed to timely provide care and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in actual harm for Resident #96, who was readmitted to the facility on [DATE] from an acute hospital stay with a pressure ulcer. Resident #96 required two staff assist with bed mobility and was dependent on two staff for transfers and toileting. Resident #96 did not receive treatment to the pressure area until 05/12/22 when an ulcer debridement was required over an area of 120 square centimeters (cm). Following the debridement pressure ulcer care was not initiated until 05/16/22. This affected two of eight residents identified with pressure ulcers. The facility census was 95. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF813Sep 16, 2025

  Based on observation, interview, and review of facility policy the facility failed to ensure appropriate monitoring and safe storage or outside foods for residents. This had the potential to affect 36 residents residing on the second floor (Residents #38, #39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, #55, #56, #57, #58, #59, #60, #61, #62, #63, #64, #65, #67, #68, #69, #70, #71, #72, #73, and #74) residing in the facility. The facility indicated Resident #66 received nothing by mouth. The facility census was 102. Observation on 09/09/25 at 11:17 A.M. of the second-floor resident lounge refrigerator revealed the front of the refrigerator was heavily soiled with dried food and fingerprints and the front of the door and handle were sticky. […]

• No harm, potential for more than minimal, widespreadF814Sep 16, 2025

  Based on observation ,staff interview and facility policy review, the facility failed to ensure the dumpster/refuse area was maintained in a clean and sanitary condition. This had the potential to affect all residents residing in the facility. The facility census was 102.Findings include:Observation on 09/09/25 at 10:45 A.M. of the facilities outside dumpster area revealed various loose rubbish around and underneath the stairs leading to the dumpster. The Administrator confirmed the observation and stated maintenance is supposed to clean the area week following the dumpster being emptied to prevent rodents.Review of the undated facility policy called; Disposal of Garbage and Refuse revealed the facility shall properly dispose of kitchen garbage and refuse. […]

• No harm, potential for more than minimal, widespreadF921Sep 16, 2025

  Based on observation, interview and policy review, the facility failed to maintain a clean and homelike environment. This had the potential to affect all residents residing in the facility. The facility census was 102.Findings include:On 09/09/25 between 10:00 A.M. and 12:30 P.M. an initial tour of the building was conducted. room [ROOM NUMBER] was noted with visible dirt at the door threshold. The resident lounge on the second floor was noted to have a floor with visible dirt and debris. The garbage can was overflowing. The common bathroom on the second floor was noted to have caked hair and visible dirt under the sink in the back right hand side of the floor. There was a stained ceiling tile. There was plastic tape hanging from the overhead light. The mirror was chipped and broken. […]

• No harm, potential for more than minimal, widespreadF812Oct 29, 2024

  Based on observation, interview, record review, and review of the facility policy, the facility failed to ensure the kitchen was maintained in a safe and sanitary manner. This had the potential to affect all residents residing at the facility except two residents (Residents #88 and #94) identified by the facility as receiving nothing by mouth. The facility census was 102. Findings include: 1. Observation of the dishwasher on 10/24/24 from 8:38 A.M. till 8:45 A.M. revealed Dietary Aide #605 was actively cleaning breakfast dishes through the dishwasher. Observation of the gauges on the front of the dishwasher revealed the gauges did not move when she ran each cycle: the rinse gauge was set at 152 degrees Fahrenheit (F), and the sanitizer gauge was set at 154 degrees F. […]