Beadles Nursing Home

In the surveyor’s words

From the most serious findings on record at Beadles Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 15, 2026

  On 01/14/26 at 4:00 p.m., an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure staff were adequately trained for transportation of wheelchair bound residents.On 12/30/25, transporter #1 improperly secured Resident #20 in the transport vehicle, which resulted in the wheelchair being tipped over on its side when the driver swerved to miss another vehicle. Resident #20 sustained a fractured rib and moderate damage to the spleen which required admission to a hospital trauma center. […]

• No harm, potential for more than minimal, isolatedF656Jan 15, 2026

  Based on observation, record review, and interview, the facility failed to ensure comprehensive care plan was developed for 1 (#14) of 23 sampled residents reviewed for care plans.The administrator identified 45 residents resided in the facility. Findings: On 01/12/26 at 12:54 p.m., Resident #14 was observed to be unable to hear what was being said. Hearing aides were observed on their table. A comprehensive care plan policy, dated 05/25/23, read in part, [NAME] Nursing Home will develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth in the section on resident's rights, which includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in… […]

• No harm, potential for more than minimal, isolatedF637Jun 30, 2023

  Based on observation, record review, and interview, the facility failed to identify a significant change for one (#42) of thirteen sampled residents assessments reviewed. The Resident Census and Conditions of Residents report, dated 06/28/23, documented the census was 49. Findings: Resident #42 had diagnoses which included, high blood pressure, chronic bronchitis, and dementia. A Quarterly Assessment, dated 03/17/23, documented Resident #42 had severe cognitive impairment, and needed limited assistance of one staff for bed mobility, transfer, dressing, toilet use, and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF804Jun 30, 2023

  Based on observation, record review, and interview, the facility failed to ensure palatable food was served for one (#17) of six sampled residents reviewed for food services. The Resident Census and Conditions of Residents report, dated 06/28/23, documented the census was 49. LPN #1 identified all 49 residents received their meals from the kitchen. Findings: Resident #17 had diagnoses which included high blood pressure, diverticulitis of intestine, chronic kidney disease stage three, and major depressive disorder. A Physician Order, dated 05/13/19, documented Resident #17 was on a diverticulitis texture, regular consistency diet. […]