King David Post Acute: Resident Found Dead Hours Later - OH
BEACHWOOD, OH. When paramedics arrived at King David Post Acute Nursing & Rehabilitation, staff told them they had last seen Resident #271 alive at 8:30 in the evening. The paramedic who responded, identified in inspection records as Paramedic #520, looked at the scene and concluded the resident had been dead for at least two to three hours before EMS ever got the call.
The math was not complicated. The condition of the resident's body, as the paramedic observed it upon entering the room, did not support what staff were saying.
What happened in those hours is not fully explained in the inspection report. What is documented is what happened when paramedics arrived: staff did not provide additional information about Resident #271, and appeared, in the paramedic's assessment, not to know how to appropriately handle the emergent situation.
The facility had a policy for exactly this. A Cardiopulmonary Resuscitation policy reviewed on January 3, 2025, spelled out what staff were required to do if a resident was found unresponsive or without a pulse: call a Code Blue, begin CPR with chest compressions and ventilations, use an AED if applicable, and continue until EMS arrived. The policy applied unless a valid advance directive or DNR order was in place.
The inspection record does not state whether Resident #271 had a DNR order. What it states is that Paramedic #520 found staff who did not know how to handle what was in front of them.
Federal inspectors cited the facility under F0678, which covers emergency and disaster preparedness, at a level of minimal harm or potential for actual harm. The citation came out of a complaint investigation, complaint number 2635740.
The gap between 8:30 PM and whenever EMS was called is not filled in by the inspection documents. Neither is the question of who last entered the room, or when, or what they saw. The inspection report captures the endpoint: a paramedic standing in a resident's room, looking at a body the staff said they had just seen alive, concluding that was not true.
Paramedic #520 told investigators that upon arriving on scene, staff did not provide additional information about Resident #271. That detail sits in the record without elaboration. It is not clear whether staff were absent, silent, or simply without anything useful to say.
What the paramedic found, and what staff said, did not match.
King David Post Acute Nursing & Rehabilitation is a long-term care facility in Beachwood, a suburb east of Cleveland. The inspection was conducted October 15, 2025, as a complaint investigation.
The inspection report does not name Resident #271, does not describe her medical history, and does not say how long she had been a resident at the facility. It records what a paramedic observed and what that paramedic said staff failed to do. It records that a policy existed requiring immediate action when a resident was found without a pulse. It records that the deficiency was cited.
It does not record what Resident #271's final hours looked like, or whether anyone checked on her between 8:30 PM and whenever the call went out. Those questions are not answered in the documents available.
What is answered is this: a paramedic arrived, assessed the scene, and told investigators that the resident had been dead for at least two to three hours before anyone called for help. Staff, according to that same paramedic, did not know what to do when help finally arrived.
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 2025-10-15 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.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 9, 2026 · Our methodology
KING DAVID POST ACUTE NURSING & REHABILITATION LLC in BEACHWOOD, OH was cited for violations during a health inspection on October 15, 2025.
When paramedics arrived at King David Post Acute Nursing & Rehabilitation, staff told them they had last seen Resident #271 alive at 8:30 in the evening.
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.