Beach Breeze Rehab and Care Center

Inspectors wroteBased on observations and interviews, the facility failed to follow proper sanitation practices in the provision of food for the residents. This had the potential to affect 109 Residents on oral diets.

Inspectors wroteBased on observation, interview, and record review the facility failed to treat Residents with dignity and respect during care for Residents #323, #20, and a Resident that wished to remain anonymous; failed to discuss financial concerns in private for Resident #94; and failed to treat Residents with dignity during dining for Residents #8, #74, #76 and #104.

Inspectors wroteBased on observation, interview, and review of housekeeping records, the facility failed to ensure a safe, clean, and homelike environment for 1 of 4 units ([NAME]) as evidenced by pervasive odors noted on the unit throughout the survey week and maintenance concerns in the dining room.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to have sufficient staff to intervene when 2 residents (#92, #76) ate or drank from 5 other residents' cups or plates, and when 1 resident who preferred to remain anonymous, reported that the [NAME] Hall was chaotic on the weekends. This had the potential to affect 31 residents in the [NAME] Hall, memory support unit.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to honor a resident's choice to have information displayed in the resident's room for 1 of 2 residents reviewed for choices, Resident #117.

Inspectors wroteBased on policy review, record review and interview, the facility failed to provide a receipt for a financial transaction as evidenced by Resident #94 stating he did not sign or receive a copy of a receipt.

Inspectors wroteBased on policy review, record review and interviews, the facility failed to provide the resident with his original documents upon request for 1 of 2 sampled residents (Resident #56); and the facility failed to deliver mail to 1 of 2 sampled residents (Resident #94).

Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement a care plan for a resident's smoking for 1 of 2 residents reviewed for smoking (Resident #31).

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to: 1). Provide alternate means for a resident to communicate with staff for 1 of 2 residents reviewed for communication, Resident #117; and 2). Failed to ensure a resident was provided with appropriate supplies in order to independently maintain their ostomy for 1 of 1 resident reviewed for ostomy status, Resident #323.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide activities designed to meet the interests of one resident (Resident #84), to promote the psychosocial well-being of that resident. This had the potential to affect 31 residents in the [NAME] Hall, memory support unit.

Inspectors wroteBased on record review and interview, the facility failed to collaborate with Hospice services for 1 of 1 sampled resident, Resident #95, as evidenced by contradictory code status documentation.

Inspectors wroteBased on record review and interviews, the facility failed to ensure that proper protocol was implemented when a resident has a fall, as evidenced by not reporting or following up on a fall for Resident #35.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to provide nutrition via enteral method as ordered for 1 of 4 residents reviewed for tube feeding (Resident #5).

Inspectors wroteBased on observation, interview, and record review the facility failed to perform a respiratory assessment on a resident with respiratory treatments for 1 of 2 sampled residents (Resident #54).

Inspectors wroteBased on observations, record reviews and interviews, the facility failed to meet nutritional needs for 1 of 8 sampled residents, as evidenced by not providing all the food items on Resident #56 meal ticket.

Inspectors wroteBased on interviews and record reviews, the facility failed to review and update the Facility Assessment accurately and in a timely manner.

Inspectors wroteBased on observation, interview and record review, the facility failed to develop care plans for the use of bed rails for 3 of 3 residents reviewed for bed rails, Residents #27, 56 and 62.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a resident's highest practicable level of mobility for 1 of 3 residents reviewed for activities of daily living (Resident #32).

Inspectors wroteBased on observation and interview, the facility failed to administer oxygen as ordered for 1 of 2 residents reviewed for respiratory therapy (Resident #32).

Inspectors wroteBased on observation, interview and record review, the facility failed to provide trauma informed care in a manner to eliminate or mitigate triggers that may cause re-traumatization for 1 of 1 resident reviewed for behavior, Resident #36.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure correct use of side rails, assess the residents for risk of entrapment from side rails, failed to obtain informed consent prior to use of side rails and failed to conduct regular maintenance checks on side rails for 3 of 3 residents reviewed for side rails, Residents #27, 56 and 62.

Inspectors wroteBased on interview, observation, and record review, the facility failed to correctly verify the physician's order related to contact isolation for 1 of 1 resident reviewed for transmission-based precautions, Resident #62; and the facility failed to maintain the laundry room in a clean and sanitory manner.

Inspectors wroteBased on observation, interview, record review, and policy review the facility failed to ensure all residents were supervised to prevent elopement from the facility for 1 of 2 residents reviewed for elopement (Resident #2).

Inspectors wroteBased on observation, interview and record review, the facility failed to provide foods prepared, served and stored in a manner to prevent the potential growth of pathogens that cause foodborne illness and in accordance with professional standards for food safety.

Inspectors wroteBased on observations and interviews, the facility failed to provide a safe, clean, comfortable, and homelike environment.

Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to monitor residents' weights per physician orders and facility policies and procedures for 8 of 10 residents reviewed for nutrition (Residents #29, 34, 27, 47, 20, 38, 5, 258).

Inspectors wroteBased on facility policy, record review, and interview, the facility failed to monitor and report lab results for 2 of 2 residents reviewed for Urinary Tract Infection (Residents #8 and #13).

Inspectors wroteBased on facility policy, observation, interview, and record review, the facility failed to ensure the environment was free from accident hazard and potential for injury. This requirement was not met due to hot water temperatures being above recommended range. This failure affected 4 of 8 residents sampled for bathroom water temperatures (#29, #41, #9, #38).

Inspectors wroteBased on observations, interviews and record review, the facility failed to provide enteral feeding as ordered for 1 of 6 residents reviewed for tube feeding, Resident #34.

Inspectors wroteBased on facility policy, record review and interview, the facility failed to maintain accurate resident records. This failure affected 1 of 15 sampled residents (Resident #8).