Beachwood Pointe Care Center

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

FSD #344 confirmed they were out of fried rice and were sending white rice to finish out the carts for second floor residents. FSD #344 confirmed if residents did not like beef they received the chicken with vegetables in gravy.Phone interview on 09/15/25 at 1:33 P.M. with [NAME] #294 revealed he did not use a recipe for fried rice, he just made white rice and added various vegetables to it and did not realize the recipe included eggs. [NAME] #294 also confirmed he did not use the pepper steak for the pureed diets or mechanical soft diets as stated on the menu. [NAME] #294 confirmed he used chicken for the mechanical soft and pureed diets and did not taste them prior to serving them for taste or texture. [NAME] #294 also confirmed he did not use a recipe for chicken with vegetables mixed with chicken gravy. [NAME] #294 stated the menu recipes are in the book in the kitchen to use but since the meat was tougher, it was suggested to use the chicken instead and just made the chicken, vegetables and gravy without a recipe and was not listed on the facility approved menu.Interview on 09/15/25 at 1:38 P.M. with FSD #344 confirmed

she did not have a substitution log for review prior to 08/01/25 and confirmed the substitution of the chicken with vegetables and gravy was not listed on the substitution list. FSD #344 confirmed it was not listed on

the menu, and no recipe was followed. 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.

Event ID:

Facility ID:

If continuation sheet

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

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Beachwood Pointe Care Center

23900 Chagrin Blvd Beachwood, OH 44122

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)

F 0804 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

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

enough. The pureed chicken appeared to be more a mechanical soft consistency, was not a smooth consistency and tasted bland without seasoning. FSD #344 also noted the pureed bread was grainy, tasted pasty and was not a smooth consistency and the pureed vegetable had bean strings that were evident when chewing it. Following testing the above listed items, FSD #344 confirmed the tested items were not warm enough and she now understood resident complaints about food not being warm enough seeing the drop from the initial tray line temperature to the temperature of the test tray following the last passed resident meal tray. FSD #344 confirmed she does not usually complete test trays and had not tried the pureed food items. Phone interview on 09/15/25 at 1:33 P.M. with [NAME] #294 revealed he did not use a recipe for fried rice, he just made white rice and added various vegetables to it and did not realize the recipe included eggs. [NAME] #294 also confirmed he did not use the pepper steak for the pureed diets or mechanical soft diets as stated on the menu. [NAME] #294 confirmed he used baked chicken for the mechanical soft and pureed diets and did not taste them prior to serving them for taste or texture. [NAME] #294 also confirmed he did not use a recipe for the chicken with vegetables mixed with chicken gravy. [NAME] #294 stated the menu recipes are in the book in the kitchen to use but since the meat was tougher,

it was suggested to use the chicken instead and just made the chicken, vegetables and gravy without a recipe and was not listed on the facility approved menu.Interview on 09/15/25 at 1:38 P.M. with FSD #344 confirmed she did not have a substitution log for review prior to 08/01/25 and confirmed the substitution of

the chicken with vegetables and gravy was not listed on the substitution list. FSD #344 confirmed it was not listed on the menu, and no recipe was followed. Phone interview on 09/11/25 at 2:07 P.M. with Registered Dietitian (RD) #362 confirmed she has not been doing test trays at the facility, menus were to be followed, and stated she recently told the dietary staff that modified diets are supposed to get the items as written on

the menu production sheets.Review of the 2023 facility policy called: The Dining Experience revealed the dining experience will be person centered with the purpose of enhancing each individual's quality of life and being supportive of each individual's needs during dining. Individuals will be provided with nourishing, palatable, attractive meals that meet daily nutrition and/or special dietary needs and food preferences and are served at a safe and appetizing temperature. 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.

Event ID:

Facility ID:

If continuation sheet

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

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Beachwood Pointe Care Center

23900 Chagrin Blvd Beachwood, OH 44122

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)

F 0805 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

as stated on the menu. [NAME] #294 confirmed he used chicken for the mechanical soft and pureed diets and did not taste them prior to serving them for taste or texture. Phone interview on 09/11/25 at 2:07 P.M. with Registered Dietitian (RD) #362 confirmed she has not been doing test trays at the facility, menus were to be followed and stated she recently told the dietary staff that modified diets are supposed to get the items as written on the menu production sheets.Review of the undated facility policy called; Puree Food Preparation revealed puree means that all food has been ground, pressed an/or strained to a consistency of a soft, smooth, thick paste like a thick pudding. Pureed foods should be prepared in such a manner to prevent lumps or chunks. The goal is a smooth, soft, homogenous consistency like soft mashed potatoes.

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.

Event ID:

Facility ID:

If continuation sheet

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

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Beachwood Pointe Care Center

23900 Chagrin Blvd Beachwood, OH 44122

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)

F 0812 Level of Harm - Minimal harm or potential for actual harm

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.)

Residents Affected - Some

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

Event ID:

Facility ID:

If continuation sheet

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

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Beachwood Pointe Care Center

23900 Chagrin Blvd Beachwood, OH 44122

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 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.

F 0814

Dispose of garbage and refuse properly.

Level of Harm - Minimal harm or potential for actual harm

Based on observation ,staff interview and facility policy review, the facility failed to ensure the dumpster/refuse area was maintained in a clean and sanitary condition. This had the potential to affect all residents residing in the facility. The facility census was 102.Findings include:Observation on 09/09/25 at 10:45 A.M. of the facilities outside dumpster area revealed various loose rubbish 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.

Residents Affected - Many

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

Event ID:

Facility ID:

If continuation sheet

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

09/16/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Beachwood Pointe Care Center

23900 Chagrin Blvd Beachwood, OH 44122

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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

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

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and

the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

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

This had the potential to affect all residents residing in the facility. The facility census 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.

Event ID:

Facility ID:

If continuation sheet