Beaumont Rehab & Skilled Nursing CTR - Westboro

In the surveyor’s words

From the most serious findings on record at Beaumont Rehab & Skilled Nursing CTR - Westboro, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 26, 2026

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), who required set up assistance with meals and beverages, the Facility failed to ensure his/her environment was free from accidents resulting in serious injury, when on 1/16/26, a staff member served Resident #1 a hot cup of coffee that had been reheated in the microwave, however the staff member did not check the temperature of the coffee, in accordance with facility policy, before serving it to him/her. […]

• No harm, potential for more than minimal, widespreadF880Sep 28, 2023

  Based on observation, policy and record review and interview, the facility failed to adhere to infection control guidelines to prevent contamination and the spread of infection. Specifically, the facility staff failed to: 1.a) don (put on) gloves when handling medications. b) ensure a medical supply bag was placed in a clean area. c) ensure handwashing occurred after doffing (remove) gloves. d) ensure proper COVID-19 (an infectious respiratory illness) staff testing procedure. 2. to perform COVID-19 testing for staff and residents in a manner consistent with infection control standards and perform COVID-19 testing for staff timely as required. Findings include: 1. […]

• No harm, potential for more than minimal, patternF760Mar 18, 2026

  Based on interview and record review, the facility failed to ensure that two Residents (#11 and #6), out of a total sample of 30 residents, were free from significant medication errors. Specifically, the staff failed to: 1. For Resident #11, ensure that Seroquel (a medication used to help regulate mood, behaviors and thoughts) was accurately transcribed onto the Medication Administration Record (MAR), resulting in the Resident missing 19 doses of the prescribed medication, and increasing the risk for worsening mood and behavior patterns. 2. […]

• No harm, potential for more than minimal, patternF804Mar 18, 2026

  Based on observations, interviews, and records reviewed, the facility failed to provide food at safe and appetizing temperatures to residents from two out of three lunch meal carts on two Units ([NAME] Unit and [NAME] Unit) out of three total resident units.Specifically, the facility failed to provide food at safe and appetizing temperatures for the lunch meal for Residents eating lunch on the [NAME] Unit and [NAME] Unit, increasing residents' risks for reduced food/fluid intake. Findings include:Review of the facility's policy titled Food: Quality and Palatability, revised February 2023, included but was not limited to: -Food will be prepared by methods that conserve nutritive value, flavor and appearance. […]

• No harm, potential for more than minimal, patternF812Mar 22, 2022

  Based on observation, interview and policy review the facility failed to: A.) properly sanitize cookware and, B.) properly store food in the kitchen and in 3 out of 4 unit kitchenette refrigerators, in accordance with professional standards for food service safety. Findings include: A). The facility failed to test the level of chemical sanitizer in the three-compartment sink to ensure cookware was sanitized according to the manufacturer's guidelines. Review of a facility policy titled Sanitation and Infection Control, dated 1/1/2010, included but was not limited to the following: *Procedures will be in place to ensure that any manually washed dish and cookware items are clean and sanitary. *Sink 3 Sanitize: 1. […]