Home / Washington / Longview
Beacon Hill Rehabilitation
128 Beacon Hill Drive, Longview, WA 98632 · Cowlitz County · (360) 423-4060
67 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 505294 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2026, inspectors cited 4 health deficiencies (the Washington average is 15.8, the national average 9.2).
Of 9 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $25,350 in the last three years; the largest was $25,350, and the latest is dated March 7, 2025.
Nurses and nurse aides worked 4.10 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 0.97 of those hours.
37.5% of nursing staff left within the year CMS measured (Washington average 45.1%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
001/24
503/25
405/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
May 21, 2026Standard inspection · 4 citations
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 1 of 3 residents (Resident 43) was free from physical restraints. This failure placed residents at risk of injury and a decreased quality of life.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Minimum Data Set (MDS, an assessment tool) was completed accurately to reflect a resident's health status and/or care needs for 1 of 8 sampled residents (Resident 7) reviewed for physical restraints and unnecessary medications. This failure placed residents at risk for unidentified and/or unmet care needs and a diminished quality of life.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure physician orders and/or care plans were followed for 1 of 5 sampled residents (Resident 30) reviewed for unnecessary medications, 1 of 4 sampled residents (Resident 2) reviewed for accidents, and 1 of 1 sampled resident (Resident 4) reviewed for antibiotic use. This failure placed residents at risk of injury, unmet care needs, and a diminished quality of life.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure food items were properly stored in 2 of 5 walk-in facility refrigeration devices. This failure placed residents at risk for food borne illness, and a diminished quality of life.
March 7, 2025Standard inspection, Complaint inspection · 5 citations
- G Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to ensure ongoing physician notifications were made when the resident experienced a change of condition in conjunction with a medication discontinuation and the need for a significant change in treatment for 1 of 7 sampled residents (162) reviewed for notification of change. Resident 162 experienced harm when the resident had ongoing increasing visual hallucinations (mice, snakes, does not feel safe, lost appetite due to snakes in the resident's room, people in the resident's room, tadpoles, river rats that can bite you, being held hostage, and stated, This is terrible.) and the physician was not consulted about the ongoing increasing hallucinations and a significant need for treatment. This failure placed residents at risk for untreated medical conditions and a diminished quality of life.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident centered activities were provided that incorporated the resident's preferences for 1 of 4 sampled resident (37) reviewed for activities. This failure placed residents at risk for a diminished quality of life.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interview and record review, the facility failed to ensure physician orders were implemented for edema (the presence of excessive fluid in the body tissue) treatment for 1 of 1 sample resident (21) and failed to ensure bowel interventions were initiated for 1 of 5 sample residents (24) reviewed for quality of care related to following physician orders and bowel management. These failures placed residents at risk of complications related to untreated medical conditions and a diminished quality of life.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure oxygen therapy was accurately monitored for 1 of 4 sampled residents (21) reviewed for oxygen therapy. This failure placed residents at risk for a compromised respiratory status and a decreased quality of life.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from unnecessary psychotropic medication side effects by failing to provide side effect monitoring for 1 of 5 sampled residents (38) reviewed for unnecessary psychotropic medications. This failure placed residents at risk for medication side effects, unmet care needs, and a diminished quality of life.
January 25, 2024Standard inspection · 0 citations
Fire safety inspections
18 fire safety citations on file: 5 on May 21, 2026, 9 on March 7, 2025, 4 on January 25, 2024.
Every fire safety citation18 citations
- F Establish policies and procedures including evacuation.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- F Conduct risk assessment and an All-Hazards approach.
- F Establish policies and procedures including evacuation.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have proper medical gas storage and administration areas.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed electrical wiring and gas equipment.
- F Provide primary/alternate means for communication.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 7, 2025 | Fine | $25,350 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Washington | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.10 | 4.36 | 3.86 |
| Registered nurses | 0.97 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.34 | 3.80 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 37.5% | 45.1% | 45.8% |
| Registered nurse turnover | 11.1% | 45.4% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.14 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.41 on weekdays and 3.34 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 4.10 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.10 | 0.97 | 4.41 | 3.34 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 4.15 | 0.90 | 4.43 | 3.43 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 4.08 | 0.74 | 4.38 | 3.33 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.87 | 0.69 | 4.13 | 3.21 | 0.0% | 0 of 91 | 55 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Washington, Jan to Mar 2026 | 4.21 | 0.90 | 4.44 | 3.66 | 3.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Washington | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.8 | 14.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.0 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.7 | 15.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.5 | 1.8 |
Owners and operators
Legal business name: BEACON HILL HEALTHCARE, INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riley, Craig | Managing control - governing body | Individual | 01/01/2025 | |
| Ross, Steve | Managing control - governing body | Individual | 05/01/2014 | |
| Farnsworth, Stephen | Corporate director | Individual | 01/01/2023 | |
| Burnam, Soon | Corporate officer | Individual | 02/25/2014 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Ross, Steve | Corporate officer | Individual | 01/01/2024 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Riley, Craig | Operational/managerial control | Individual | 01/01/2025 | |
| Ross, Steve | Operational/managerial control | Individual | 05/01/2014 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/07/2025 | |
| Ensign Services Inc | Adp of the SNF | Organization | 07/01/2014 | |
| Ventas, Inc. | Adp of the SNF | Organization | 02/28/2024 | |
| Riley, Craig | Adp of the SNF | Individual | 01/01/2025 | |
| Ross, Steve | Adp of the SNF | Individual | 05/01/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 21, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 21, 2026: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 21, 2026: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 21, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.34 hours per resident per day, below the Washington average of 3.80.
Other nursing homes nearby
- Frontier Rehabilitation and Extended Care Longview, 2.5 mi · 4 of 5 stars · 23 citations
- Americana Health and Rehabilitation Longview, 3.1 mi · 4 of 5 stars · 20 citations
- Woodland Convalescent Center Woodland, 20.6 mi · 2 of 5 stars · 22 citations
- Saint Helens Post Acute Saint Helens, 22.1 mi · 2 of 5 stars · 76 citations
Washington contacts for a concern about a nursing home
These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Washington DSHS Aging and Long-Term Support Administration, Residential Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Washington State Long-Term Care Ombudsman Program, 1-800-562-6028. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Beacon Hill Rehabilitation's Medicare star rating?
- CMS rates Beacon Hill Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Beacon Hill Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on May 21, 2026. The Washington average is 15.8.
- Has Beacon Hill Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $25,350 in the last three years.
- Does Beacon Hill Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Beacon Hill Rehabilitation?
- CMS lists 14 owners and managers, and links the home to The Ensign Group. Legal business name: BEACON HILL HEALTHCARE, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.