Beaumont Health Care Center

In the surveyor’s words

From the most serious findings on record at Beaumont Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695May 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident who needed respiratory care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for 4 of 8 residents (Residents # 12, # 22, #210 and #259) reviewed for respiratory therapy. The facility failed to ensure Residents #12 and #22 had a physician order for oxygen and was care planned. The facility failed to ensure Resident #210 was set on 3 LPM per oxygen concentrator (machine that takes air from your surroundings and extracts oxygen and filters it into purified oxygen to breathe). The facility failed to keep the oxygen concentrator filter clean for Resident #259. […]

• No harm, potential for more than minimal, patternF812May 14, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 kitchen reviewed for dietary services. The facility failed to ensure all staff wore hair restraints and restrained all of their hair while plating the food. (05/12/25) This failure could place residents who ate meals prepared in the kitchen at risk of foodborne illnesses. Findings included: During observation on 05/12/25 at 7:50 a.m., the DM was in the kitchen. The DM walked by the stove and by the food prepping tables. The DM operated the dish machine. There was a 2 inches wide area on each side of her neck of unrestrained hair approximately 3 to 4 inches long. […]

• No harm, potential for more than minimal, patternF757Apr 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 3 of 7 residents (Residents #9, #47, and #104) reviewed for unnecessary medications. The facility did not have appropriate indications for medications based on Resident #9's, #47's, and #104's diagnoses. This failure could place residents at risk of complications related to receiving unnecessary medications. Findings included: 1.Record review of the physician orders dated April 2024 for Resident #9 indicated she was a [AGE] year-old female readmitted on [DATE] with diagnoses including type 2 diabetes and morbid (severe) obesity due to excess calories. […]

• No harm, potential for more than minimal, patternF758Apr 3, 2024

  Based on interview and record review, the facility failed to ensure residents were not given psychotropic drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 3 residents reviewed for unnecessary psychotropic drugs. (Resident #47) The facility failed to ensure Resident #47 had an appropriate diagnosis or adequate indication for the use of Trazadone (an antidepressant used to treat depression) and Zoloft (an antidepressant used to treat depression). This failure could place residents at risk for receiving unnecessary medication, having unnecessary medication side effects, and a decreased quality of life. […]

• No harm, potential for more than minimal, patternF812Jan 26, 2022

  Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for one of one kitchen reviewed food service safety, in that: There were unlabeled, undated, and unsealed containers of food items stored in the dry goods storage, freezers, and refrigerator. These failures could place residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings included: During an observation and interview with DM (who identified foods) on 1/24/22 at 9:10 a.m. […]