Beachwood Post-Acute & Rehab

In the surveyor’s words

From the most serious findings on record at Beachwood Post-Acute & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF684May 1, 2025

  Based on interview and record review, for one of three sampled residents (Resident 1), the facility failed to: 1. Ensure LVN 3 notified a physician and handed over to a licensed nurse that Resident 1 did not pass urine and urine was not collected for urinalysis (UA- is a medical test that analyzes a urine sample. It involves examining the appearance, chemical composition, and microscopic components of the urine to detect potential health issue) on [DATE] from 7 a.m. to 3 p.m. 2. […]

• Actual harm, isolatedF689Jan 7, 2025

  Based on interview, and record review, facility failed to provide one of three residents (Resident 1) supervision, by failing to ensure that Resident 1 who is a high fall risk was not left unattended in the common area near the nursing station. on 12/18/2024 at 3:30 PM. This deficient practice resulted in Resident 1 had an unwitnessed fall from the wheelchair on 12/18/2024 and sustaining a nasal (nose) fracture. Findings: A review of Resident 1's admission record indicated Resident 1 was originally admitted to the facility on [DATE] with diagnoses that included dementia (loss of cognitive functioning, thinking, remembering, and reasoning), osteoarthritis (a degenerative joint disease, in which the tissues in the joint break down over time), diabetes mellitus type II (lifelong (chronic)… […]

• Actual harm, isolatedF689Dec 16, 2024

  Based on interview and record review the facility failed to implement fall precautions to prevent falls for one of three sampled residents (Resident 1) by failing to: 1. Provide two-person assist when turning and repositioning for Resident 1 who was identified as high risk for fall. 2. Implement the risk for fall care plan for Resident 1 to provide fall mats (a floor pad designed to help prevent injury should a person fall). As a result, on 11/4/2024 at 6:40 a.m., Resident 1 fell from the bed and hit head on the floor when Certified Nursing Assistant (CNA) 1 was providing care to the resident. […]

• Actual harm, isolatedF689Jun 28, 2024

  Based on observation, interview, and record review, the facility failed to: A. 1. Ensure the staff did not leave a hot cup of coffee at Resident 108's bedside table. 2. Ensure Certified Nursing Assistant 7 (CNA7) did not prepare hot liquid in an electric water kettle on the resident's bedside table, serve, and leave a cup of hot coffee unattended and within the resident's reach. 3. Ensure a licensed nurse assessed and measured Resident 108's skin immediately after the resident was burnt with the hot coffee. […]

• Actual harm, isolatedF689Mar 27, 2024

  Based on interview, and record review the facility failed to implement measures to prevent falls and injuries for one of three sampled residents (Resident 1). For Resident 1, who was confused, was a high fall risk, and attempted to get up without assistance, the facility failed to prevent repeated falls by not: 1. Supervising and monitoring Resident 1. 2. Identify interventions related to Resident 1's specific risks and contributing factors to prevent repeated falls and minimize complications from falling. 3. Ensure Resident 1's care plan interventions were effective and appropriate to the resident's safety needs. 4. […]