Beacon Healthcare Center

In the surveyor’s words

From the most serious findings on record at Beacon Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Jul 21, 2026

  Based on interview and record review, the facility failed to ensure necessary care and services were provided for two of three sampled residents (Residents 1 & 2) when:a. Resident 1's ceftriaxone (an antibiotic medication used to treat urinary tract infections [UTI- an infection in the bladder/urinary tract]) order did not indicate the accurate reason for use.b. Resident 2's urinalysis (UA-a laboratory test that checks urine for signs of infection) and urine culture (a laboratory test that checks urine for bacteria) orders were not transcribed (written/ordered) and implemented as directed by the medical doctor (MD). […]

• No harm, potential for more than minimal, patternF580May 14, 2026

  Based on interview and record review, the facility failed to promptly notify one of five sampled residents' (Resident 1's) doctor of a change in condition in accordance with the facility's policy and procedure (P&P) titled, Acute Condition Changes - Clinical Protocol, when:a. Resident 1's doctor (DR 2) was not promptly informed of Resident 1's signs and symptoms (S&S) of a urinary tract infection (UTI- an infection in the bladder/urinary tract) which started on [DATE] at 12:00 PM.b. […]

• No harm, potential for more than minimal, patternF842May 14, 2026

  Based on interview and record review, the facility failed to maintain a complete and accurate medical record for three of five sampled residents (Resident 1, Resident 2, and Resident 3) when:1. On [DATE], Licensed Vocational Nurse (LVN) 4 inaccurately documented that Resident 1 did not have any edema (swelling caused by too much fluid trapped in the body's tissues).2. Resident 1's History and Physical (H&P, physician's clinical evaluation and examination of the resident), dated [DATE], inaccurately indicated Resident 1 did not have edema.3. […]

• No harm, potential for more than minimal, patternF583Nov 17, 2024

  Based on observation and record review, the facility failed to ensure two of two sampled residents (Residents 7 and 15), were provided privacy curtains for the residents during incontinence care. These failures prevented Residents 7 and 15 from having privacy during care and had the potential to affect Residents 7 and 15's dignity and self-worth. Findings: a. During a review of Resident 7's Admission Record, the Admission Record indicated Resident 7 was admitted to the facility on [DATE] with diagnoses including encephalopathy (a disease in which the functioning of the brain is affected by some agent or condition [such as viral infection or toxins in the blood]), dysphagia (difficulty swallowing), and contracture (a stiffening/shortening at any joint that reduces the joint's range of… […]

• No harm, potential for more than minimal, patternF812Nov 17, 2024

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food handling service. During initial tour of the kitchen on 11/15/24, one open bag of frozen patties and one open frozen bag of eggrolls were unlabeled and undated in the facility freezer for one of one facility kitchen. This deficient practice had the potential to result in foodborne illnesses (illness caused by consuming contaminated food or beverages) to the residents. Findings: During an initial tour of the kitchen on 11/15/24 at 5:24 pm, with the Dietary Supervisor (DS), one open bag of four hamburger patties and one opened bag of eggrolls were observed inside the facility freezer. […]