Beach Terrace Care Center: Family Not Notified of IV Care - NY
By then, Beach Terrace Care Center had started her mother on intravenous antibiotics, treated a wound that had opened on her left toe, and left the family member listed on the face sheet entirely out of every decision. Nobody had called. Nobody had documented a call. When inspectors asked the Director of Nursing for evidence that the family had been notified, the director could not find any.
The inspection, completed August 13, 2025, was triggered by a complaint. What investigators found was a straightforward failure: a cognitively impaired resident received a significant change in treatment, and the one person designated to be informed was kept in the dark.
Family Member #1, identified in the report as the daughter, told inspectors she was never notified that Resident #1 would be started on intravenous medication or antibiotic. She was direct about what that notification would have meant. She would have refused it. Her mother, she said, would not tolerate intravenous treatment. That conversation never happened, so the treatment went forward anyway.
She also told inspectors she had not been informed, as of June 5, 2025, that her mother had developed a wound on the left toe and was receiving treatment for it. Two separate changes in her mother's condition. Neither one reached her.
The evening supervisor who responded to the unit that day told inspectors what she found: Resident #1 in the dining room, the intravenous catheter dislodged. The supervisor cleaned the site, checked on the resident's safety, and spoke with the family member who was there. When the daughter said she did not want the medication given intravenously, the supervisor called the physician. The physician ordered oral antibiotics instead.
That was the right call, made too late. The supervisor told inspectors the family should have been notified by the unit coordinator on the previous shift.
The unit coordinator from that shift, interviewed on August 6, confirmed she had worked on May 27, 2025, the day intravenous antibiotics were initiated. She told inspectors she did not recall notifying the daughter when the IV antibiotics were started. Not that she had tried and failed to reach her. Not that she had left a message. She did not recall notifying her at all.
The Director of Nursing told inspectors that when a resident is cognitively impaired and a change occurs, the family is informed by the unit coordinator or the nursing supervisor. The director could not locate any evidence that had happened here. The policy existed. The accountability did not.
What the report describes is a facility that had a clear chain of responsibility and a clear breakdown at every link in it. The unit coordinator did not make the call. The evening supervisor, who did speak with the family, believed it was someone else's job to have done it first. The director could not show it had been done at all.
For a cognitively impaired resident, the family member on the face sheet is the person who exercises judgment the resident cannot exercise alone. That is why the designation exists. The daughter had told the facility she wanted to be notified of any changes in treatment or in her mother's condition. She was listed. She was reachable. She was not called.
Instead, she arrived and found her mother in the dining room with a dislodged IV line, and learned in that moment that antibiotics had been running, that a wound had been treated, and that none of it had come through her.
The inspection cited the facility under F0580, which covers the obligation to notify the resident's representative of changes in condition and treatment. The level of harm was recorded as minimal harm or potential for actual harm. The number of residents affected was listed as few.
The daughter had told inspectors she is listed on the face sheet and wants to be notified of any changes. That is not an unusual request. It is the baseline. Beach Terrace did not meet it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Beach Terrace Care Center from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: October 26, 2026 · Our methodology
Beach Terrace Care Center in Long Beach, NY was cited for violations during a health inspection on August 13, 2025.
When inspectors asked the Director of Nursing for evidence that the family had been notified, the director could not find any.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.