Beavercreek Health And Rehab
Inspection Findings
F-Tag F0628
F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
30-day discharge notice due to non-payment and had gone home with her sister, and he was not sure what discharge planning had taken place. The Administrator verified the staff should have completed a nursing note and the recapitulation of stay document upon discharge for Resident #27.
Interview on 09/02/25 at 2:25 P.M. with the former Social Worker (SW) #121 confirmed she was not present when Resident #27 was discharged . SW #121 reported Resident #27's insurance gave notice they would not cover a long-term stay. Resident #27 was planning to try to go to her sister's house and she had recommended home health care and therapy but was not sure what had been set up when Resident #27 actually discharged as the SW was no longer working at the facility.
This deficiency represents noncompliance investigated under Complaint Number OH00165679 (iQIES 1344432.)
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
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Beavercreek Health and Rehab
3854 Park Overlooke Drive Beavercreek, OH 45431
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-Tag F0686
F 0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview and online information on pressure ulcers from Medscape the facility failed to timely treat pressure wounds. This affected one (Resident #10) of three residents reviewed for pressure ulcers. The facility census was 69 residents. Findings include:Review of the medical record for Resident #10 revealed admission date of 07/18/25 with diagnoses including stage four pressure ulcer, stroke, liver cirrhosis, and depression and a discharge date of 07/22/25.Review of the Minimum Data Set (MDS) assessment for Resident #10 dated 07/22/25 revealed the resident had severely impaired cognition and was dependent upon staff for activities of daily living (ADLs.)Review of the admission assessment for Resident #10 dated 07/18/25 revealed the resident had a left heel pressure ulcer which measured two centimeters (cm) in length by two in width with the depth not measured and the resident had a left outer ankle pressure ulcer which measured two cm in length by two cm in width with the depth not measured.Review of the physician's orders for Resident #10 revealed orders dated 07/21/25 to cleanse the left heel pressure ulcer and left outer ankle pressure ulcer with normal saline and apply skin prep every shiftInterview on 08/26/25 at 11:02 A.M. with Assistant Director of Nursing (ADON) #109 confirmed Resident #10 was admitted on [DATE REDACTED] with deep tissue injuries (DTIs) to her left heel and left outer ankle.
ADON #109 confirmed the treatment for the pressure ulcers was not initiated until 07/21/25.Review of online resource Medscape at https://emedicine.medscape.com/article/190115-treatment revealed once a pressure ulcer has developed immediate treatment is required.This deficiency represents noncompliance investigated under Complaint Number 2582540 and Complaint Number 2572464.
Residents Affected - Few
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
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Beavercreek Health and Rehab
3854 Park Overlooke Drive Beavercreek, OH 45431
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-Tag F0689
Federal health inspectors cited BEAVERCREEK HEALTH AND REHAB in BEAVERCREEK, OH for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-09-04.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 3 deficiencies cited during this inspection of BEAVERCREEK HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-26.
BEAVERCREEK HEALTH AND REHAB in BEAVERCREEK, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 BEAVERCREEK, 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 BEAVERCREEK HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.