King David Post Acute: Transport Failures for Dialysis - OH
The violation, tagged F0698, was rated as causing minimal harm or potential for actual harm and affected a small number of residents. But for dialysis patients, missed appointments are not a minor inconvenience. Dialysis is a life-sustaining treatment, typically required three times a week, that filters waste from the blood of patients whose kidneys no longer function on their own. Missing sessions can cause fluid buildup, dangerous shifts in electrolytes, and rapid deterioration.
The complaint, filed under Ohio case number OH00163377, pointed to a breakdown in how the facility scheduled drivers and matched them to residents who needed rides to outside medical appointments. The problem was serious enough that the facility's regional leadership took direct control of the corrective process.
Regional Nurse Director #672 drove most of the response. On May 1, 2025, she educated all unit managers on the process for making sure residents' appointments and transportation needs were communicated to the transportation scheduler. That same day, she held in-services for all facility staff and arranged for signs to be posted on the units reminding everyone that transportation to outside medical appointments was available, either through the facility or through insurance-related transport.
The facility's previous administrator, identified in the report only as Administrator #510, was also involved. On May 13, she and Regional Nurse Director #672 met with facility staff to map out the drivers' workflow schedules so everyone understood when drivers were available. That same day, Administrator #510 educated the transportation coordinators on working together when scheduling appointments, and Regional Nurse Director #672 told drivers and coordinators that dialysis residents would each be assigned to a specific driver, kept on a consistent schedule to provide continuity.
Also on May 13, the interdisciplinary team, including unit managers and Regional Nurse Director #672, reviewed the transportation policy. They determined no changes to the policy were needed.
Weekly audits began that same day, conducted by Regional Nurse Director #672 or a designee, running for four weeks before dropping to monthly for two months. Any negative findings were sent to the facility's Quality Assurance and Performance Improvement committee.
On May 22, Activities Coordinator #845 brought the issue before all residents at the monthly Resident Council meeting, reminding them that transportation assistance was available for outside medical appointments.
The inspection report does not say how many dialysis residents missed appointments, how many appointments were missed in total, or whether any resident suffered a medical consequence as a result. It does not name any resident or describe what happened when a scheduled ride failed to materialize.
What the record does show is that the failure was significant enough to generate a formal complaint, trigger a regional-level response, and require months of auditing before the facility considered the problem resolved. The corrective actions stretched from May 1 through at least mid-July, with the complaint investigation itself not completed until September 22, 2025.
For residents dependent on dialysis, the gap between when a scheduling system breaks down and when a facility restructures its driver assignments and posts signs on the walls is not an administrative abstraction. It is measured in missed sessions.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for King David Post Acute Nursing & Rehabilitation LLC from 2025-09-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 27, 2026 · Our methodology
KING DAVID POST ACUTE NURSING & REHABILITATION LLC in BEACHWOOD, OH was cited for violations during a health inspection on September 22, 2025.
The violation, tagged F0698, was rated as causing minimal harm or potential for actual harm and affected a small number of residents.
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.