Beacon Rehabilitation and Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 14, 2024

  Based on observation, record review, and interviews conducted during an abbreviated survey (NY00334677), the facility failed to protect a resident from physical abuse by nursing home staff. This was evident in 1 out of 3 residents sampled for abuse (Resident #1). Specifically, on 02/28/24 at approximately 7:00 pm, Resident #1 reported to Nursing Supervisor #1 that they were kicked in the scrotal area by Certified Nursing Assistant #2. Resident #1 reported that when they were kicked in the groin, they screamed out in pain. Certified Nursing Assistant #1 also reported to Nursing Supervisor #1 they witnessed Certified Nursing Assistant #2 kick Resident #1 in their private area and that Resident #1 screamed out in pain. […]

• No harm, potential for more than minimal, widespreadF812Jan 15, 2026

  Based on observation, interview and record review, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was identified during the Kitchen Task. Specifically, multiple refrigerated food items were undated and stored in open packaging. Additionally, the kitchen staff were not monitoring the cold food temperatures. The findings are: A facility policy titled Food Storage documented all food stored is maintained in a safe, sanitary, and temperature-controlled manner in order to prevent foodborne illnesses, contamination, and spoilage. All food items shall be stored, labeled, dated, and monitored in accordance with the accepted food safety standards and regulatory requirements. […]

• No harm, potential for more than minimal, widespreadF880Feb 4, 2022

  Based on observations, and staff interviews conducted during the Recertification survey, the facility did not ensure that infection control practices and procedures were maintained. Specifically, 1). oxygen tubing was observed touching the floor on multiple occasions, and 2). the facility-specific water management plan for Legionella was missing the following required components: (a) environmental assessment of water system. (b) Legionella sampling plan in place for the potable water system. This was evident for 2 out 2 residents reviewed for Respiratory Care out of a sample of 24 residents and during review of Infection Control. (Resident # 6 and Resident # 54) The findings are: 1 (a). […]

• No harm, potential for more than minimal, isolatedF550Jan 15, 2026

  Based on observation, record review and interviews the facility did not ensure each resident was treated with respect and dignity and cared for in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. This was identified for one (1) (Resident #70) of two (2) residents reviewed for Dignity. Specifically, on 01/12/2026 Certified Nursing Assistant #1 was observed in the hallway pulling Resident #70 backwards for approximately 100 feet while the resident was laying completely flat on a shower bed. […]

• No harm, potential for more than minimal, isolatedF686Jan 15, 2026

  Based on observation, record review, and interviews the facility did not ensure that each resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing. This was identified for two (2) (Resident #7 and Resident #10) of three (3) residents reviewed for Pressure Ulcers. Specifically, 1) during the wound care observation for Resident #7, Licensed Practical Nurse #1 did not cleanse all surfaces of the wound bed, including the part of the wound with undermining (a pocket or shelf beneath the surface of the skin extending beyond the visible opening, making it harder to heal and prone to infection). […]