Deficiency Index

Beacon Hill Rehabilitation

Longview, Washington · CCN 505294

16 surveys since 2010. The first finding at harm level was recorded in 2014.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
90
Surveys
16
Harm or worse
6
Immediate jeopardy
3
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
67
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Cowlitz
Medicare-certified since
1985

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

May 21, 2026

172 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.104.01
Registered-nurse hours per resident day0.97—
Annual nurse turnover37.5%41.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$25,350 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG111.1%H—I—
No harm, potential for more than minimalD888.9%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 9 of the 90 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6041×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6791×

    Provide activities to meet all resident's needs.

In the surveyor’s words

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

  • Actual harm, isolatedF580Mar 7, 2025

    Based on interview and record review, the facility failed to ensure ongoing physician notifications were made when the resident experienced a change of condition in conjunction with a medication discontinuation and the need for a significant change in treatment for 1 of 7 sampled residents (162) reviewed for notification of change. Resident 162 experienced harm when the resident had ongoing increasing visual hallucinations (mice, snakes, does not feel safe, lost appetite due to snakes in the resident's room, people in the resident's room, tadpoles, river rats that can bite you, being held hostage, and stated, This is terrible.) and the physician was not consulted about the ongoing increasing hallucinations and a significant need for treatment. […]

  • No harm, potential for more than minimal, widespreadF552Jun 22, 2021

    Based on interview and record review, the facility failed to ensure consents for immunizations were accurately and individually depicted for the type of immunization being received for 5 of 5 sampled residents (Residents 14, 17, 22, 38, & 42) reviewed for immunizations. This failure placed residents and/or resident representatives at risk of not being fully informed to make decisions regarding health care choices. Findings included . 1) Resident 14 was admitted to the facility on [DATE]. Resident 14's consent for Influenza and Pneumococcal Vaccines dated 10/12/2020, documented the resident consented to receive a pneumococcal vaccine but did not indicate whether it was for PPSV23 or [MEDICATION(S)]. […]

  • No harm, potential for more than minimal, widespreadF732Jun 22, 2021

    Based on observation, interview and record review, the facility failed to ensure nursing hours were accurately posted and updated daily for each shift. This failure placed residents, resident representatives and visitors at risk of not being fully informed of the current staffing levels and census information. Findings included . On 06/14/2021 at 9:15 AM, the survey team entered the building. The staff posting was observed on the wall left of the nursing station on the 3rd floor. No staff posting was found on the 2nd floor, also known as the sub-acute floor of the building. On 06/15/2021 at 8:16 AM, Staff posting was found on the wall left of the nursing station on the 3rd floor. […]

  • No harm, potential for more than minimal, patternF684Jun 22, 2021

    Based on observation, interview and record review, the facility failed to consistently and accurately identify, monitor and document non-pressure skin injuries for 2 of 3 sampled residents (Residents 34 & 205) reviewed for pressure injuries. This failure placed residents at potential risk for unidentified and untreated skin issues, potential for discomfort, a change in health status and a diminished quality of life. Findings included . 1) Resident 205 was admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, isolatedF604May 21, 2026

    Based on observation, interview and record review, the facility failed to ensure 1 of 3 residents (Resident 43) was free from physical restraints. This failure placed residents at risk of injury and a decreased quality of life.Findings included.Resident 43 was admitted to the facility on [DATE]. The 5-Day Minimum Data Set (an assessment tool), dated 03/02/2026, indicated Resident 43 was alert and oriented.During an observation and interview on 05/19/2026 at 9:02 AM, Resident 43's bed was observed against the wall on the window side of the room. […]

Read 25 findings in full →The most serious and the most recent: 25 of 90 on record.

Every survey on record

FindingsAt actual harm or above

  • May 21, 2026Standard4 findings
  • Mar 7, 2025Standard and complaint5 findings · 1 harm
  • Jun 22, 2021Standard and complaint5 findings
  • Apr 9, 2019Standard and complaint10 findings
  • Jun 24, 2018Standard and complaint11 findings
  • May 12, 2017Standard and complaint5 findings
  • Jun 3, 2016Standard11 findings · 1 harm
  • Feb 12, 2016Complaint4 findings · 2 harm
Show the 8 earlier surveys
  • Jun 8, 2015Standard4 findings · 1 harm
  • Mar 20, 2015Complaint2 findings
  • Nov 6, 2014Complaint1 finding
  • Apr 4, 2014Standard9 findings · 1 harm
  • Mar 15, 2013—5 findings
  • Feb 3, 2012—1 finding
  • Jan 13, 2012—6 findings
  • Dec 7, 2010—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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