Facility Response and Corrective Measures
The Assistant Director of Nursing acknowledged during the investigation that "Augmentin should have been given as [to Resident 1] soon as it was available." The administrator confirmed that antibiotics would normally be available in the facility's emergency kit and that treatment should begin immediately upon medication availability.
The inspection was classified as involving "minimal harm or potential for actual harm" affecting few residents. However, the violation represents a significant breakdown in multiple systems including medication management, staff communication, and care plan implementation.
This incident occurred at Beachwood Post-acute & Rehab, located at 1340 15th Street in Santa Monica, during a complaint-based inspection conducted on May 1, 2025. The facility must submit a plan of correction addressing the medication administration failures and communication breakdowns identified in the inspection.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Beachwood Post-acute & Rehab from 2025-05-01 including all violations, facility responses, and corrective action plans.
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