The Beach Post-Acute

In the surveyor’s words

From the most serious findings on record at The Beach Post-Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF773Mar 28, 2025

  Based on interview and record review, the facility failed to ensure one of four sampled residents (Resident 1), who had a history of gastrointestinal bleeding ([GI] bleeding anywhere in the digestive tract from the mouth to the rectum), anemia (when the blood doesn ' t have enough healthy red blood cells and hemoglobin [a protein in the red blood cells that carries oxygen to carry oxygen all through the body), and a low hemoglobin, their Stat (immediate) laboratory (lab) order for a Complete Blood Count ([CBC] a common blood test that measures red blood cells {specialized cells in the blood that play a crucial role in transporting oxygen throughout the body}, white blood cells {a type of blood cell that play a crucial role in the body ' s immune system}, platelets {a tiny disc shaped… […]

• Immediate jeopardy, isolatedF689Apr 22, 2024

  Based on interview and record review, the facility failed to ensure a resident, who was under conservatorship (a legal status in which a judge appoints a person [conservator] to manage the financial and personal affairs of a minor or incapacitated person) with a history of elopement (an unauthorized departure of a patient from an around-the-clock care setting without the facility's knowledge and supervision), and assessed as high risk for elopement, did not elope from the facility for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure Resident 1 did not elope from the facility twice, the first time on 1/19/2024 and again 4/13/2024. 2. Ensure Resident 1 was not placed in a room with access to an outside patio with a door that opened to an alley. […]

• Immediate jeopardy, isolatedF697Feb 21, 2024

  Based on interview and record review, the facility failed to ensure a resident, who was admitted to the facility for pain management, from a General Acute Care Hospital (GACH) following two spinal fusion (a surgical procedure to connect two or more bones in the lower part of the spine) surgeries, was medicated to control the pain for one of five sampled residents (Resident 1). The facility failed to: 1. Provide Dilaudid (a narcotic medication used to treat moderate to severe pain), for approximately six hours, to Resident 1 who complained of a pain level of 10 out 10 on a 0-10 pain rating scale (where zero= no pain and 10= is the worst pain possible). 2. Follow up with the pharmacy to confirm the pharmacy received the fax order for Dilaudid. 3. […]

• Actual harm, isolatedF684Nov 10, 2023

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), who tested positive for COVID-19 (Coronavirus disease -a contagious respiratory infectious illness) on 11/2/2023 and had a change of condition (COC) of shortness of breath and lethargy (condition of deep and lasting drowsiness from which the person can be aroused only with difficulty and temporarily) on 11/6/2023, was provided care. The facility failed to: 1. Ensure Resident 1 was assessed, monitored, and had vital signs (VS- measurements of the body's most basic functions temperature, pulse rate, respiration rate [rate of breathing] and blood pressure)including oxygen saturation ([O2 sat] blood oxygen level) checked every shift as ordered by the physician. 2. […]

• No harm, potential for more than minimal, widespreadF880Feb 13, 2026

  Based on observation and interview, the facility failed to maintain and observe infection control practices by failing to:1.Ensure Certified Nurse Assistant (CNA) 2 wore an isolation gown (protective apparel used to protect the wearer from the transfer of microorganisms and body fluids) while assisting with fixing linens for Resident 41 which required direct contact with Resident 41 who was on Enhanced Barrier Precautions (EBP- infection control intervention using gown and gloves during high contact resident care activities designed to reduce the transmission of multi-drug-resistant organisms {microorganisms, predominantly bacteria, that are resistant to one of more classes of antimicrobial agents}).2.Ensure the oxygen tubing was changed and dated for Resident 42.3.Ensure the intravenous… […]