Beatitudes Campus

In the surveyor’s words

From the most serious findings on record at Beatitudes Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF804Sep 5, 2025

  Based on observations, staff interviews, United States Food and Drug Administration (FDA) recommendations and policy review, the facility failed to ensure food and drinks were palatable and maintained at an appetizing temperature. The deficient practice could result in the potential of bacterial growth in susceptible conditions, also known as the 'danger zone'.Findings include:A review of food temperatures from the last 30 days was conducted and revealed that on August 26, 2025, 4th-floor lunch temperatures at 12:00 PM were as follows:- Beet and Feta Salad: 48.3 degrees F- Honey Glazed Pork Tenderloin: 133.1 degrees F- Pina Colada Cheesecake: 51.1 degrees FHowever, that same review revealed that on August 26, 2025, the 3rd-floor lunch temperatures at 12:00 PM were as follows:- Beet and… […]

• No harm, potential for more than minimal, patternF812Sep 5, 2025

  Based on observations, staff interviews, United States Food and Drug Administration (FDA) recommendations, and policy review, the facility failed to ensure that prepared food was stored in accordance with professional standards for food safety. The deficient practice could result in the potential of bacterial growth in susceptible conditions, also known as the 'danger zone'. Findings include:On September 2, 2025, an initial observation of the facility kitchen was conducted with the Nutrition Care Manager (Staff #47).At 8:41 AM, a walk-through of Refrigerator #1 revealed no evidence of a label of creation date or a use-by date for a food item that had been identified by Staff #47 as Jell-O.At 8:44 AM, a walk-through of Refrigerator #2 revealed raw meats had no evidence of a label of when it… […]

• No harm, potential for more than minimal, patternF656Aug 30, 2024

  Based on clinical record review, staff interview, and policies and procedures, the facility failed to ensure that a comprehensive person-centered care plan with interventions related to use of oxygen was developed for one resident (#38) and related to the use of a power wheelchair seatbelt and bed rails/mobility bars for one resident (#44). The deficient practice could result in the resident not receiving the necessary care and services according to their assessed needs. Findings include: Resident #38 was readmitted to facility March 28, 2024 with diagnoses of chronic obstructive pulmonary disease (COPD), acute and chronic respiratory failure. […]

• No harm, potential for more than minimal, patternF695Aug 30, 2024

  Based on clinical record review, observations, interviews, and policy review; the facility failed to ensure oxygen was administered as ordered for one resident (#38); and, failed to ensure there was a physician order for the use of oxygen for one resident (#50). The deficient practice could result in resident complication and respiratory distress and hospitalization . Findings include: -Resident #38 was readmitted to facility March 28, 2024 with diagnoses of chronic obstructive pulmonary disease (COPD), acute and chronic respiratory failure. The physician note dated March 29, 2024 revealed that resident had an oxygen saturation of 90% on room air, had an oxygen flow rate of 2 liters, and a respiratory rate of 18 breaths per minute. […]

• No harm, potential for more than minimal, patternF880Aug 30, 2024

  Based on observations, staff interviews, and policy review the facility failed to ensure that infection control practices and standards were followed; failed to perform hand hygiene during provision of care; failed to ensure reusable resident equipment was cleaned and disinfected after its use. The deficient practice could result in the spread of disease and infections to residents. The facility census was 52 residents. Findings include: -Regarding wound care observation: During a wound care observation for Resident (#7) conducted on August 28, 2024 at 8:17 AM, the licensed practical nurse (LPN/staff #29) took a multiuse wound wash solution and betadine container from the treatment cart and into the resident's room. […]