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Complaint Investigation

Beachwood Pointe Care Center

September 16, 2025 · Beachwood, OH · 23900 Chagrin Blvd
Citations 7
CMS Rating 1/5
Beds 120
Provider ID 365071
Healthcare Facility
Beachwood Pointe Care Center
Beachwood, OH  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BEACHWOOD POINTE CARE CENTER in BEACHWOOD, OH — inspection on September 16, 2025.

Found 7 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0803
Nutrition and Dietary Deficiencies

Observation on 09/11/25 at 1:41 P.M. revealed the tray for Resident #99, who is severely cognitively impaired and receives a pureed diet, received pureed chicken, pureed vegetables, pureed wheat bread and pudding.

Interview at the time of the observation with Certified Nurse Aide (CNA) #251 confirmed the above listed items received for Resident #99 were already consumed with no swallowing concerns noted at the time.Phone interview on 09/11/25 at 2:07 P.M. with Registered Dietitian (RD) #362 confirmed she has not been doing test trays and stated she recently told the dietary staff that modified diets needs to get the items listed on the menu.

Review of the 2023 facility policy called Standardized Recipes revealed standardized recipes will be used when preparing menu items.

Standardized recipes for planned menu items will be maintained in the facility.

Cooks/chefs are expected to use and follow the recipes provided.

365071 09/16/2025

Beachwood Pointe Care Center 23900 Chagrin Blvd Beachwood, OH 44122

Review of the 2023 facility policy called: Food Temperatures revealed foods sent to the units for distribution (such as meals, snacks, nourishments, oral supplements) will be transported and delivered to unit storage areas to maintain temperatures at or below 41 degrees Fahrenheit (F) for cold food and at or above 135 degrees F for hot foods.

365071 09/16/2025

Beachwood Pointe Care Center 23900 Chagrin Blvd Beachwood, OH 44122

Review of the 2023 facility policy called Texture and Consistency Modified Diets revealed texture and consistency modified diets should be individualized with modifications made by the speech language pathologist (SLP) and physician in conjunction with the registered dietitian nutrition (RDN) or designee and director of food and nutrition services. A written order is needed.

The food and nutrition services department will be responsible for preparing and serving the correct consistency of food and beverages as ordered.

365071 09/16/2025

Beachwood Pointe Care Center 23900 Chagrin Blvd Beachwood, OH 44122

Review of the 2023 facility policy called: Food Safety and Sanitation revealed all local, stated and federal standards and regulations will be followed to assure a safe and sanitary food and nutrition services department.

Stored food will be handled to prevent contamination and growth of pathogenic organisms.

Leftovers are to be used within 72 hours or discarded.

Perishable foods with expiration dates should be used prior to the use by date on the package.

All time and temperature control for safety (TCS) foods including leftovers should be labeled, covered and dated when stored.

  • Observation on 09/09/25 at 11:17 A.M. of the second-floor resident lounge refrigerator revealed the
  • front of the refrigerator was heavily soiled with dried food and fingerprints and the front of the door and handle were sticky.

Inside of the resident refrigerator revealed a paper plate with two cheeseburgers with no name or date, an open package of microwavable chicken patties that did not have a resident name, an open date and the use by date was unable to be determined.

The six chicken patties contained inside of the open bag had visible mold on each of the chicken patties and had a bad odor when the bag was moved.

Observation and interview on 09/09/25 at 11:20 A.M. with Certified Nurse Aide (CNA) #316 confirmed the chicken patties were moldy and the burgers were not labeled with a name or date as required. CNA #316 stated dietary was supposed to monitor the unit refrigerator.Interview on 09/11/25 at 1:35 P.M. with Dietary Director #344 stated she thought the resident unit refrigerators were monitored by nursing staff on each floor.

Review of the undated facility policy called; Foods Brought by Family/Visitors revealed perishable foods must be stored in a re-sealable container with tightly fitting lids in the refrigerator.

Containers will be labeled with the residents' name, the item and the ?use by' date.

The nursing staff is responsible for discarding perishable foods on or before the ?use by' date.

The nursing and/or food service staff must discard any food prepared for the residents that show obvious signs of potential foodborne danger (for example, mold growth, foul odor, past due package expiration dates.)

365071 09/16/2025

Beachwood Pointe Care Center 23900 Chagrin Blvd Beachwood, OH 44122

Federal health inspectors cited BEACHWOOD POINTE CARE CENTER in BEACHWOOD, OH for a deficiency under regulatory tag F-F0813 during a complaint investigation conducted on 2025-09-16.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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 7 deficiencies cited during this inspection of BEACHWOOD POINTE CARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

affect all residents residing in the facility.

The facility census was 102.Findings include:Observation

around and underneath the stairs leading to the dumpster.

The Administrator confirmed the observation and stated maintenance is supposed to clean the area week following the dumpster being emptied to prevent rodents.

Review of the undated facility policy called; Disposal of Garbage and Refuse revealed the facility shall properly dispose of kitchen garbage and refuse.

Storage areas, enclosures, and receptacles for refuse shall be maintained in good repair and cleaned at a frequency necessary to prevent them from developing a buildup of soil or becoming an attractant for insects and rodents.

365071 09/16/2025

Beachwood Pointe Care Center 23900 Chagrin Blvd Beachwood, OH 44122

and the public.

observation, interview and policy review, the facility failed to maintain a clean and homelike

was 102.Findings include:On 09/09/25 between 10:00 A.M. and 12:30 P.M. an initial tour of the building was conducted. room [ROOM NUMBER] was noted with visible dirt at the door threshold.

The resident lounge on the second floor was noted to have a floor with visible dirt and debris.

The garbage can was overflowing.

The common bathroom on the second floor was noted to have caked hair and visible dirt under the sink in the back right hand side of the floor.

There was a stained ceiling tile.

There was plastic tape hanging from the overhead light.

The mirror was chipped and broken.

The elevator threshold was caked with visible dirt and debris.

There was built up, visible dust on all baseboards on all units. room [ROOM NUMBER] was missing the baseboard behind the bed headboard exposing the wall.

Peeling paint was noted under the air conditioning unit.

The window seal in the common hall outside room [ROOM NUMBER] was noted to have built up visible dust and dead insects.

The blinds on the window above outside room [ROOM NUMBER] were noted to have a build up of visible dust and dirt. room [ROOM NUMBER] was noted to have the corner of the wall outside of the bathroom torn away exposing the wall.

The soap dispensers outside rooms [ROOM NUMBERS] were noted to not be filled.

The threshold outside room [ROOM NUMBER] was noted to have built up dirt and debris.

Maintenance Director #347 verified the aforementioned findings at the time of the observations. On 09/10/25 at 11:05 A.M. another tour of the building was conducted with Environmental Service Director (ESD) #346.

Built up, visible dust was noted on all baseboards of all units.

Windowsills at the end of each unit were noted to have visible dirt and dead insects.

Blinds at the end of every hallway on all units were noted to have built up visible dust and dirt on them. ESD #346 verified the findings at the time of the tour. On 09/10/25 at 3:10 P.M.

Visible dirt and dead insects was noted at the windowsills at the end of the halls on the 200 unit.

Housekeeper #314 verified the findings at the time of the observation. A review of the policy titled; Homelike Environment with a revision date of 02/2021 revealed Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible.

The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect personalized, home-like setting.

These characteristics include a clean, sanitary and orderly environment.

This deficiency represents non-compliance investigated under Complaint Numbers 1271397, 2589543, and 1271392.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BEACHWOOD, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BEACHWOOD POINTE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.