Beaumont Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 27, 2024

  Based on observation, interview, and record review, the facility failed to ensure an effective infection prevention and control program to prevent the development and transmission of communicable diseases was implemented by the facility for 8 of 8 residents (Residents #8, #9, #10, #11, #12, #13, #17, and #18) and 13 of 13 staff (CNA J, MA K, CNA N, HSK O, LVN X, LDY P, CNA Q, CNA R, CNA S, CNA T, LVN U, CNA V, and LVN W) in the facility reviewed for infection control practices and transmission-based precautions. The facility failed to ensure facility staff (CNA J, MA K, CNA N and HSK O) wore appropriate PPE when entering COVID-19 (infectious disease caused by the SARS virus) positive residents' rooms. […]

• Immediate jeopardy, patternF689Feb 13, 2025

  Based on interview and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 4 residents reviewed for accidents and supervision. (Resident #1) The facility failed to provide adequate supervision for Resident #1 who was assessed as a high risk for elopement. On 11/08/2024 he was allowed to sit on the front porch without supervision, and facility received a phone call from another resident's family member informing facility Resident #1 was at the end of the facility's exit driveway entering the residential roadway. The non-compliance was identified as past non-compliance. The Immediate Jeopardy began on 11/02/2024 and ended on 11/08/2024. The facility had corrected the non-compliance before the survey began. […]

• Immediate jeopardy, isolatedF689Jan 28, 2026

  Based on observations, interviews, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 4 residents reviewed for accidents. (Resident #1). The facility failed to provide adequate supervision for Resident #1, who resided on the secured unit due to high risk for elopement and history of elopement, from leaving the facility unsupervised on 11/24/2025. Resident #1 was found at a local hospital emergency room where he had been taken by local police. The facility was not aware that the resident was missing for approximately 1.5 hours until a family member and local police called facility staff about his whereabouts. The noncompliance was identified as PNC (past noncompliance). The IJ began on 11/24/2025 and ended on 11/25/2025. […]

• No harm, potential for more than minimal, patternF680Aug 12, 2026

  Based on interview and record review the facility failed to have qualified professional(s) who was qualified as a therapeutic recreation specialist or an activities professional who was licensed or registered by the State to for 1 of 1 facility reviewed for qualifications of activity professionals.The facility failed to ensure a qualified Activities Professional was in place to direct their activities program for the previous 12 weeks. There was no qualified Activity Director in place from 5/12/2026 and as of 08/12/2026 (date of survey exit).This deficient practice could place residents at risk of not receiving approaches that were individualized to match the skills, abilities, and interests/preferences of each resident for activities.During interviews with ten (10) random residents from… […]

• No harm, potential for more than minimal, patternF695Aug 12, 2026

  Based on observation, interview and record review, the facility failed to ensure that respiratory care was provided consistently with professional standards of practice for 1 of 5 residents reviewed for respiratory care. (Resident #56)The facility failed to ensure Resident #56 received bi-pap for 3 days and not obtaining parameters for the bi-pap machine and oxygen levels to be maintained. This failure could place residents at risk of illness, respiratory complications, and accidents.Findings included: Record review of a face sheet dated 08/10/25 indicated Resident #56 was a [AGE] year old male admitted [DATE] with diagnoses including acute respiratory failure with hypercapnia (a life-threatening condition where the lungs cannot get enough oxygen into the blood or remove enough carbon… […]