Beechwood Health & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF880Aug 16, 2022

  Based on clinical record review, facility documentation review, facility policy review, and interviews for two of two residents (Resident's #1 and #2) reviewed for infection control, the facility failed to ensure the residents were free from potential exposure to blood borne pathogens. The failures resulted in a finding of Immediate Jeopardy. The findings include: a. Resident #1 was admitted to the facility during May 2022 with diagnoses that included periprosthetic fracture around an internal prosthetic of left hip joint. The Resident Care Plan (RCP) plan dated 6/10/2022 identified a self-care deficit. Interventions directed to provide extensive assistance for ADLs as needed. […]

• No harm, potential for more than minimal, patternF567Jun 26, 2025

  Based on review of clinical records, facility documentation, facility policy, and an interviews for 30 of 52 sampled residents (Resident #1, #3, #4, #5, #6, #8, #13, #14, #15, #18, #23, #24, #26, #28, #29, #30, #33, #35, #39, #42, #44, #58, #500, #501, #502, #503, #504, #505, #506, and #507) reviewed for personal funds, the facility failed to credit interest earned to each resident's personal funds account. The findings include: Interview and facility documentation review with Director of Revenue #1 on 6/25/2025 at 2:10 PM, identified that Resident #33 had personal funds held by the facility in an interest-bearing account. Director of Revenue #1 indicated the monthly application of interest earned to an individual resident's account was a manual process. […]

• No harm, potential for more than minimal, patternF578Jun 26, 2025

  Based on record review, staff interviews, and facility policy for 3 of 4 sampled residents (Resident #4, Resident #22, and Resident #33) reviewed for advanced directives, the facility failed to obtain a signed copy of an Advanced Directive form for Resident #4 and Resident #33, and for Resident #22 failed to transcribe the signed Advance Directive form to the electronic medical record. The findings include: 1. Resident #4 was admitted in February of 2020 with diagnoses that included encounter for palliative care, malignant neoplasm of the left breast (breast cancer), chronic systolic (congestive) heart failure, unspecified atrial flutter, cardiomyopathy, and essential hypertension. […]

• No harm, potential for more than minimal, patternF689Apr 20, 2023

  Based on clinical record reviews, observation, review of facility's documentation review of policy and interviews for 1 of 3 sampled residents (Resident #32) who was reviewed for falls, the facility failed to remove hazard to prevent a fall with injury and for 1 sampled resident ( Resident # 155) who required assistance with meal, the facility failed to remove a hot beverage lid to prevent an accident and for 1 sampled resident (Resident # 20) with history of dysphagia, the facility failed to cut up the resident's meat to prevent an accident. The findings included: 1. […]

• No harm, potential for more than minimal, patternF711Mar 1, 2021

  Based on clinical record review, review of facility policy and interview for 3 of 3 sampled residents (Residents #29, #36 and #41) reviewed for the timeliness of physician's orders [REDACTED]. The findings include: Review of Resident #29's clinical record identified the last routine monthly signed medication orders were dated February 11, 2020. Although, the routine monthly MEDICATION ORDERS FOR [REDACTED]. Review of Resident #36's clinical record identified the last routine monthly signed medication orders were signed and dated in March of 2020. Although, the routine monthly MEDICATION ORDERS FOR [REDACTED]. Review of Resident #41's clinical record identified the last routine monthly signed medication orders were signed and dated in March of 2020. […]