Beechtree Center For Rehabilitation And Nursing

Federal health inspectors cited BEECHTREE CENTER FOR REHABILITATION AND NURSING in ITHACA, NY for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-29.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of BEECHTREE CENTER FOR REHABILITATION AND NURSING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

Federal health inspectors cited BEECHTREE CENTER FOR REHABILITATION AND NURSING in ITHACA, NY for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-29.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of BEECHTREE CENTER FOR REHABILITATION AND NURSING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

Federal health inspectors cited BEECHTREE CENTER FOR REHABILITATION AND NURSING in ITHACA, NY for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-08-29.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of BEECHTREE CENTER FOR REHABILITATION AND NURSING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

F 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Level of Harm - Minimal harm or potential for actual harm

Based on observations and interviews during the recertification survey conducted 8/24/2025-8/29/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two (2) of (2) two meals (lunch meals on 8/25/2025 and 8/26/2025) reviewed.

Specifically, food was not served at palatable and appetizing temperatures during the lunch meals on 8/25/2025 and 8/26/2025. Additionally, Residents #3 and #8 stated the food was not palatable and Resident #34 stated the food was often cold. Findings include: The facility policy Food Temperature and Palatability, revised 9/9/2024 documented all hot food items were maintained at 135 degrees Fahrenheit or greater until served. Cold food items were served at 41 degrees Fahrenheit or below. Resident meals would be palatable, visually appealing, and prepared in a manner consistent with resident preferences and nutritional needs. Resident interviews on 8/24/2025 included the following:-at 3:23 PM, Resident #8 stated the food was not palatable.-at 4:27 PM, Resident # 3 stated the food was not palatable. -at 4:47 PM, Resident #34 stated the food was often cold. During a lunch meal observation on 8/25/2025 at 12:42 PM, Resident #20's meal was tested in the presence of Registered Nurse #22, and a replacement tray was ordered. Food temperatures measured as follows: the baked chicken breast was 96 degrees Fahrenheit and fried potatoes with onions were121 degrees Fahrenheit. The baked chicken was dry and tough to chew. During a lunch meal observation on 8/26/2025 at 1:01 PM Resident #34's meal tray was tested in the presence of Certified Nurse Aide #11, and a replacement tray was ordered. Food temperatures were measured as follows: pork cutlet was 123.6 degrees Fahrenheit, zucchini was 131 degrees Fahrenheit, rice was 114.8 degrees Fahrenheit, applesauce was 53 degrees Fahrenheit, water was 43.3 degrees Fahrenheit, and 2% milk was 45 degrees Fahrenheit. The pork cutlet was bland with mushy breading. During an interview on 8/28/2025 at 11:15 AM, Food Service Aide #1 stated the holding temperature for hot food was 175-180 degrees Fahrenheit. The food was cooked prior to being brought to the units and the food service aides were supposed to measure the temperature of the food prior to serving and record it on their temperature log. If

the food was not at the proper temperature, they should notify the supervisor. During an interview on 8/29/2025 at 9:07 AM, Kitchen Supervisor #3 stated the food was cooked in the kitchen and held in the hot holding box or refrigerator in the kitchen until the food service aides brought the food to the units. The food service aides took the temperature of the foods prior to serving the residents and recorded them on their temperature log. If there any issues with the temperature of the food the food service aides should call the supervisor. When hot food was served cold it could affect the palatability of the meal. Hot foods should be served at least 135 degrees Fahrenheit and cold foods should be served at 41 degrees or below Fahrenheit to ensure palatability. 10NYCRR 415.14(d)(1)(2)

Residents Affected - Some

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/29/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Beechtree Center for Rehabilitation and Nursing

318 South Albany Street Ithaca, NY 14850

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

Federal health inspectors cited BEECHTREE CENTER FOR REHABILITATION AND NURSING in ITHACA, NY for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-29.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of BEECHTREE CENTER FOR REHABILITATION AND NURSING.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-28.

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

in other resident rooms. They knew they should wear a gown and gloves if someone was on contact precautions but did not know why. They did not remember if they had received education about isolation when they started. They stated that they should have worn a gown and gloves if the resident was on contact precautions. During an interview on 8/28/2025 at 10:50 AM, Assistant Director of Nursing stated staff knew if a resident was on contact precautions by the sign on the door outside the room. The sign indicated what personal protective equipment was required to enter the room. Contact precautions required staff to don a gown and gloves prior to entering the resident's room. Staff received education on this on orientation and annually. Residents #8 and #111 were on contact isolation.During an interview on 8/28/2025 at 1:57 PM, Director of Nursing/Infection Preventionist stated if someone had an active infection

they should be on contact isolation. The resident was placed on contact precautions after the result of the culture came back. An order was needed for contact isolation. Staff knew if a resident was on contact isolation by the sign on the door, a doctor order, and it was in the Kardex and Care Plan. Anytime a staff member entered a contact isolation room they were required to wash hands and don gown and gloves prior to entering the room. The rational for wearing personal protective equipment was to decrease the spread of infection. 10 NYCRR 415.19(a)(b)

Event ID:

Facility ID:

If continuation sheet