Beavercreek Health and Rehab

In the surveyor’s words

From the most serious findings on record at Beavercreek Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 30, 2025

  Based on record review, review of hospital records, staff interviews, and review of facility policy, the facility failed to ensure a safe transfer via a mechanical Hoyer lift. This resulted in Actual Harm on 12/16/25, when one staff member transferred Resident #63 via Hoyer lift and the Hoyer pad broke causing the resident to fall, which resulted in fractures of her bilateral femurs and a Lumber #1 (L1) fracture to her spine, requiring admission to the hospital for surgical repair to her bilateral femurs. This affected one (Resident #63) of three residents reviewed for accidents. […]

• Actual harm, isolatedF686Nov 15, 2022

  Based on record review, observation, staff interview, review of facility policy, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to implement physician-recommended interventions for residents with pressure ulcers, failed to thoroughly assess resident's skin, and failed to identify pressure ulcers until they had already reached an advanced stage. This resulted in actual harm to one resident (#24) who was admitted to the facility without pressure ulcers and who developed an avoidable unstageable pressure ulcer to her coccyx and actual harm to a second resident (#34) who was admitted to the facility without pressure ulcers and developed a suspected deep tissue injury (unstageable) avoidable pressure ulcer to his right heel. […]

• No harm, potential for more than minimal, widespreadF921Feb 19, 2026

  Based on observation, resident and staff interview, and policy review, the facility failed to ensure adequate water temperatures throughout the building were maintained. This had the potential to affect all residents. The facility census was 62.Findings included:Observations made throughout the facility on 02/17/26 from 9:00 A.M. to 9:34 A.M. revealed water temperatures measured 99.2 degrees Fahrenheit in the Red spa room. Water temperatures measured above 120 degrees Fahrenheit in resident rooms 105, 108, 205, 216, 307, 308, 310, and 315.During an interview on 02/17/26 at 9:34 A.M., the Director of Maintenance #119 stated water temperatures were expected to be kept between 105 and 120 degrees Fahrenheit throughout the facility.Observations made on 02/18/26 between 4:35 P.M. and 4:52 P.M. […]

• No harm, potential for more than minimal, widespreadF804Sep 26, 2024

  Based on observation, staff interview, and policy review, the facility failed to ensure dairy products were served at the appropriate temperature. This had the potential to affect 68 residents in the facility. The facility identified two residents (#08 and #21) who did not receive food from the kitchen. The facility census was 70. Findings include: Observation on 09/25/34 at 8:06 A.M. of the dining area on the facility's Red unit revealed fifteen trays lined up on the counter. Each tray contained a meal ticket, silverware, insulating covers, and a carton of milk. Observation on 09/25/24 at 8:25 A.M. revealed dietary staff started trayline, plating food and placing it in the insulated covers. […]

• No harm, potential for more than minimal, widespreadF812Sep 26, 2024

  Based on observation, staff interview, and policy review, the facility failed to ensure food was stored and prepared in a manner to prevent against the potential spread of foodborne illness. This had the potential to affect 68 residents in the facility. The facility identified two residents (#08 and #21) who did not receive food from the kitchen. The facility census was 70. Findings include: 1) Observation on 09/23/24 at approximately 8:20 A.M. of the facility's walk-in cooler revealed gray and white speckled areas throughout the eight wire shelves and several plastic milk crates. Further observation revealed a puddle of brown liquid, measuring approximately two feet by two feet, on the floor below a box of potatoes, which was positioned on the lowest shelf of a wire rack. […]