Peter Becker Community

In the surveyor’s words

From the most serious findings on record at Peter Becker Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 10, 2025

  Based on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in two of two kitchenettes (Great Oak and Elm) and in the main kitchen of the dietary department. Findings include: Review of the facility's policy entitled, Date Marking for Food Safety, dated [DATE], revealed that staff were to label food items with the date the item was opened and the items were to be discarded by the use-by date. Observations during the tour of the two kitchenettes and the main kitchen on [DATE], at 10:30 a.m., revealed the following: In the Great Oak kitchenette reach-in cooler, there was an opened container of cottage cheese with a use-by date of [DATE], and had an opening date of [DATE], written on the lid. […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2021

  Based on observation, interview, facility policy review, and review of facility documenation, it was determined that the facility failed to store food under sanitary conditions in the kitchen, in the hospitality lounge, and on two of four nursing units. (Tulip Terrace and Sweet [NAME] Way) Findings include: Review of facility policy entitled, Food From Home, edited July 2020, revealed all food items that were already prepared by the family or visitor must be labeled with content and dated. […]

• No harm, potential for more than minimal, isolatedF607May 13, 2026

  Based on facility policy review, employee file review, and staff interview, it was determined that the facility failed to ensure employees completed required abuse training in a timely manner for one of five newly hired employees. (Employee 1)Findings include: Review of the facility policy entitled, Abuse Prevention and Investigation, last reviewed August 19, 2025, revealed that all staff would receive abuse prevention training during orientation and annually thereafter. Review of employee files revealed the following: Employee 1 (E1) had been working at the facility as a licensed practical nurse since April 20, 2026. There was a lack of evidence that the employee had completed abuse training until April 26, 2026, six days after they started working in the facility. […]

• No harm, potential for more than minimal, isolatedF688May 13, 2026

  Based on clinical record review, observation, and staff interview, it was determined that the facility failed to implement interventions to prevent further decline and/or improve range of motion for one of two sampled residents with limited range of motion. (Resident 6)Findings include: Clinical record review revealed that Resident 6 had diagnoses that included Parkinson's disease, Alzheimer's disease, dementia, and chronic pain syndrome. The Minimum Data Set assessment dated [DATE], indicated that the resident had severe cognitive impairment, had impaired bilateral upper and lower extremities, and was dependent on staff for personal hygiene and dressing. […]

• No harm, potential for more than minimal, isolatedF656Apr 10, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan to meet each resident's needs identified in the comprehensive assessment for one of 16 sampled residents. (Resident 15) Findings include: Clinical record review revealed that Resident 15 was admitted to the facility on [DATE], and had diagnoses that included depression. The Minimum Data Set Care Area Assessment summary dated March 23, 2025, noted that the resident's psychotropic drug use was to be addressed in the care plan. Review of the medication administration record in March and April 2025, revealed the resident was receiving an antidepressant. […]