Beechwood Health Care Center, Inc.

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF760Jul 3, 2025

  Based on interview and record review conducted during a Complaint investigation (#NY00383549) the facility did not ensure that residents are free of significant medication errors for one (1) (Resident #1) of three (3) residents reviewed. Specifically, on 06/11/2025 Licensed Practical Nurse #1 erroneously administered Resident #2's morning medications to Resident #1 which resulted in a significant medication error.The finding is:The policy and procedure titled Medication Administration effective 05/11/2023 documented medications shall be administered in accordance with established procedures including right resident, right medication, right dose, right time, right route, right reason, and right documentation.Resident #1 had diagnoses including cerebrovascular disease (group of conditions… […]

• No harm, potential for more than minimal, isolatedF684Nov 8, 2023

  Based on observation, interview, and record review conducted during the Standard survey completed on 11/8/23, the facility did not ensure that each resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for two (Resident #6 and #66) of seven residents reviewed for quality of care related to accidents and positioning. Specifically, there was lack of assessments and monitoring for Resident #6 after they spilled coffee on themselves, and Resident #66 was not provided with leg rests while they were in their wheelchair. Additionally, while sitting in their wheelchair, Resident #66's feet were hanging down and were approximately six inches from touching the floor for extended periods of time. […]

• No harm, potential for more than minimal, isolatedF609Jan 14, 2022

  Based on observation, interview and record review conducted during a Standard survey completed on 1/14/2022, the facility did not ensure that all alleged violations of abuse, neglect, exploitation, or mistreatment, including injuries of unknown origin are reported to the administrator as required for one (Resident #74) of one resident reviewed. Specifically, staff did not report facial bruising to their supervisor, Director of Nursing or the Administrator. The finding is: The facility policy and procedure (P&P) titled, Abuse, Neglect, Mistreatment, Misappropriation of Property or Exploitation: Care - Resident Rights dated 11/1/2016 documented; if a staff member has a concern regarding a resident's care, they will notify their immediate supervisor, the Director of Nursing or the… […]

• No harm, potential for more than minimal, isolatedF761Jan 14, 2022

  Based on observation, interview and record review conducted during the Standard survey completed on 1/14/22, the facility did not store all drugs and biologicals in locked compartments and permit only authorized personnel to have access for two of two medication storage cabinets ([NAME] and [NAME] Units) observed for safe medication storage. Specifically, two medication cabinets located in common areas were observed unlocked with over-the-counter medication bottles ([NAME] and [NAME] Units) and one medication cabinet contained 21 prescription blister packs and two prescription nebulizer (inhaled) medications ([NAME] Unit). The finding is: 1. […]

• No harm, potential for minimal, patternF908Jan 14, 2022

  Based on observation and interview during the Standard survey completed on 1/14/22, the facility did not maintain all essential mechanical, electrical and patient care equipment in safe operating condition. Specifically, shower plumbing devices and hoses did not have vacuum breakers installed to prevent backflow in eight ([NAME]/Pines House tub/shower room, Wells/[NAME] tub/shower room, Harmony House tub/shower room, [NAME] House tub/shower room, [NAME] House tub/shower room, Wesley House tub/shower room, Horizons House low side tub/shower room, Horizons House high side tub/shower room) of eleven tub/shower rooms located in two (East Village Building and West Village Building) of two resident use buildings. The findings are: 1. […]