Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beach Street Health And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to follow proper sanitation and food storage practices, as observed during a kitchen tour. Several food items were found undated and unlabeled, and beverages were improperly stored underneath raw meat products. The Certified Dietary Manager acknowledged these issues, confirming that all food should be labeled, dated, and covered, in accordance with the facility's documented practices for storing Temperature Control for Safety (TCS) foods.
The facility failed to maintain an effective infection prevention and control program, with staff not performing hand hygiene during medication administration and not following enhanced barrier precautions for a resident with a central venous catheter. An RN and an LPN were observed not washing hands or donning gloves before administering medications, and an LPN did not properly disinfect a needleless connector before administering an IV antibiotic. These actions were contrary to the facility's policies, increasing the risk of infection transmission.
The facility did not ensure the proper repair of handrails in the north and south wings, resulting in missing caps and exposed jagged metal. This was observed by surveyors and confirmed by the Director of Maintenance. The Administrator acknowledged the need for repairs, highlighting a failure to adhere to the facility's policy for maintaining a safe and comfortable environment.
The facility failed to refer two residents with newly evident or possible serious mental disorders for a Level II PASARR evaluation. One resident was diagnosed with anxiety disorders, and another with bipolar and psychotic disorders, yet neither was referred for further evaluation. The DON confirmed the oversight, which was against the facility's policy requiring prompt referral for such conditions.
A facility failed to properly screen a resident for mental disorders or intellectual disabilities as required by PASARR. The resident, with diagnoses including cerebral palsy, anxiety disorder, bipolar disorder, and major depressive disorder, was not accurately documented in the PASARR Level 1 screening, which incorrectly indicated no serious mental illness or intellectual disability. The Director of Nursing acknowledged the inaccuracy, highlighting a failure to adhere to the facility's policy on coordinating assessments with the PASARR program.
A resident with a PICC line did not receive dressing changes as per standard care, with the dressing left unchanged for 13 days, exposing the insertion site. The resident, receiving antibiotics for a blood infection, reported no dressing change since admission. An LPN also failed to verify line placement before flushing. The DON confirmed the standard of care was not followed, as dressings should be changed weekly without needing a physician's order.
Two residents in a LTC facility received oxygen therapy inconsistent with physician orders. One resident, with a history of respiratory issues, was given oxygen at 3.5 liters per minute without humidification, contrary to the prescribed 2 liters. Another resident with COPD received oxygen at 4 liters initially, then 2.5 liters, also without humidification, despite orders for 2 liters with humidification. Staff interviews revealed a lack of adherence to prescribed oxygen levels and humidification requirements.
The facility failed to secure medications, leaving them accessible in resident rooms. A resident had Tylenol PM unsecured, another had Zinc ointment without knowing its purpose, and a third had Muscle rub ointment used by a friend. Staff interviews confirmed that medications should be locked, aligning with the facility's policy, but observations showed non-compliance.
Improper Food Storage and Labeling Practices
Penalty
Summary
The facility failed to adhere to proper sanitation and food storage practices, as observed during an initial tour of the kitchen. Several food items, including salads, cut fruits, diced vegetables, and pureed fruit containers, were found undated and unlabeled in various refrigerators and freezers. Additionally, a pitcher of a red drink was uncovered, undated, and unlabeled. Beverages were improperly stored underneath raw meat products in the meat freezer, which is against the facility's documented practices for storing Temperature Control for Safety (TCS) foods. During an interview, the Certified Dietary Manager acknowledged the lack of labeling and dating of food items and confirmed that all food should be labeled, dated, and covered. The facility's documentation on TCS food storage practices emphasized the importance of labeling and using food within seven days, as well as proper storage hierarchy with ready-to-eat food on top and raw poultry on the bottom. The failure to follow these guidelines was confirmed by the Certified Dietary Manager, highlighting a deficiency in the facility's food storage practices.
Infection Control Deficiencies in Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple instances of improper hand hygiene during medication administration. Observations revealed that a Registered Nurse (RN) and a Licensed Practical Nurse (LPN) did not perform hand hygiene before and after administering medications to several residents. Specifically, the RN was observed not washing hands or donning gloves before administering insulin to a resident, and the LPN repeatedly failed to perform hand hygiene before preparing and administering medications to multiple residents. These actions were contrary to the facility's policy, which mandates hand hygiene before handling medications. Additionally, the facility did not adhere to enhanced barrier precautions for a resident with a central venous catheter. An LPN was observed administering an intravenous antibiotic without performing hand hygiene, donning a gown, or properly disinfecting the needleless connector. The LPN attached a needleless connector to the catheter without cleansing it with alcohol, which is a deviation from the facility's policy on flushing midline and central line IV catheters. This oversight was noted despite the presence of enhanced barrier precautions signage on the resident's doorway. Interviews with the involved staff members revealed a lack of adherence to infection control protocols, with staff acknowledging their failure to perform necessary hand hygiene and don appropriate personal protective equipment. The Director of Nursing expressed an expectation that all staff follow the facility's infection control policies, which were clearly outlined in the reviewed policies and procedures. These deficiencies highlight lapses in following established infection control practices, increasing the risk of infection transmission within the facility.
Facility Fails to Repair Handrails, Exposing Residents to Safety Risks
Penalty
Summary
The facility failed to maintain a safe and comfortable environment for residents by not ensuring the proper repair of handrails in the north and south wings. During observations on September 23 and 24, 2024, surveyors noted that several caps were missing from the ends of the railings in both wings, leaving jagged metal exposed. This was confirmed by the Director of Maintenance during an observation on September 24, 2024. The Administrator acknowledged the need for repairs during an interview on the same day. The facility's policy titled 'Safe and Homelike Environment,' dated January 25, 2024, mandates that the facility provide a safe, clean, comfortable, and homelike environment, ensuring that the physical layout does not pose a safety risk. However, the missing caps and exposed metal on the railings indicate a failure to adhere to this policy, compromising the safety and comfort of the environment for residents, staff, and the public.
Failure to Refer Residents for Level II PASARR Evaluation
Penalty
Summary
The facility failed to ensure that residents with newly evident or possible serious mental disorders were referred for a Level II PASARR evaluation. Resident #67, who was initially admitted and later re-admitted, was diagnosed with other specified anxiety disorders. Despite this diagnosis, there was no documentation in the clinical record indicating that a Level II PASARR evaluation was conducted. The Director of Nursing confirmed that a new screening should have been performed following the new diagnosis. Similarly, Resident #60, who had diagnoses of other bipolar disorder and brief psychotic disorder, was not referred for a Level II PASARR evaluation. The clinical records lacked documentation of such a referral, even though the resident had been identified with a newly evident or possible serious mental disorder. The Director of Nursing acknowledged that the resident had not been referred for the necessary evaluation. The facility's policy mandates prompt referral to the state mental health and intellectual disability authority for Level II resident review when a resident exhibits a newly evident or possible serious mental disorder.
Failure in PASARR Screening for Mental Disorders
Penalty
Summary
The facility failed to ensure that a resident was properly screened for mental disorders or intellectual disabilities prior to admission, as required by the Preadmission Screening and Resident Review (PASARR) process. The resident in question, who was initially admitted on an unspecified date and readmitted following hospital stays, had diagnoses including cerebral palsy, generalized anxiety disorder, bipolar disorder, and major depressive disorder. However, the PASARR Level 1 screening conducted on December 28, 2023, did not document these conditions, incorrectly indicating that there was no diagnosis or suspicion of serious mental illness or intellectual disability, and thus, a Level II PASARR evaluation was deemed unnecessary. The Minimum Data Set Annual Assessment for the resident, dated June 17, 2023, confirmed the presence of cerebral palsy, anxiety disorder, depression, and bipolar disorder, and noted the resident's use of antipsychotic and antidepressant medications. Despite this, the PASARR Level 1 screening failed to reflect these diagnoses. During an interview, the Director of Nursing acknowledged the inaccuracy of the Level 1 PASARR for the resident. The facility's policy on coordinating assessments with the PASARR program was reviewed on September 18, 2023, but the deficiency indicates a failure to adhere to this policy, resulting in the resident not being evaluated and receiving care in the most appropriate setting for their needs.
Failure to Change PICC Line Dressing and Verify Line Placement
Penalty
Summary
The facility staff failed to provide central venous catheter dressing changes as ordered for a resident with a peripherally inserted central catheter (PICC) line. During observations, the resident was found with a transparent dressing that was lifting at the edges, exposing the insertion site, and dated 13 days prior to the observation. The resident reported that the dressing had not been changed since admission, despite receiving antibiotics for a blood infection. The physician's orders indicated that the dressing should be changed weekly, but there were no orders for dressing changes prior to a certain date, and the dressing was not changed as per the standard of care. Additionally, during medication administration, a Licensed Practical Nurse (LPN) failed to verify the PICC line placement by aspirating for blood return before flushing with normal saline and did not use the recommended push-pause motion. The LPN acknowledged the oversight, stating that the dressing should have been changed and the line placement verified. The Director of Nursing confirmed that PICC line dressings should be changed weekly and that a physician's order is not necessary for this procedure, as it is a standard of care. The facility's policy also supports changing dressings every 5 to 7 days or as needed if the dressing is compromised.
Oxygen Administration Deficiency in LTC Facility
Penalty
Summary
The facility staff failed to administer oxygen according to professional standards of practice for two residents. Resident #80, who has a history of cerebral infarction, acute respiratory failure with hypoxia, and other conditions, was observed receiving oxygen at 3.5 liters per minute without humidification, contrary to the physician's order of 2 liters per minute with humidification as needed. The oxygen concentrator was placed out of the resident's reach, and there was no documentation of any change in condition or need to adjust the oxygen level. Staff interviews revealed a lack of awareness and adherence to the prescribed oxygen levels and humidification requirements. Similarly, Resident #187, diagnosed with Chronic Obstructive Pulmonary Disease and acute respiratory failure, was observed receiving oxygen at 4 liters per minute initially, and later at 2.5 liters, without the required humidification. The humidification bottle was not connected and was wrapped in plastic. The physician's order specified 2 liters per minute with humidification. Staff interviews indicated a misunderstanding of the correct oxygen settings and a failure to follow the physician's orders. The facility's policy on oxygen administration, which requires adherence to physician orders, was not followed in these cases.
Failure to Secure Medications in Resident Rooms
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored securely, leading to unauthorized access to medications for three residents. Observations revealed that Resident #78 had a bottle of Tylenol PM containing acetaminophen and diphenhydramine HCL left unsecured on a dressing table over multiple days. Resident #78 confirmed taking the medication nightly with the facility's knowledge. Similarly, Resident #74 had a tube of Zinc ointment left unsecured on a dresser, and the resident was unaware of its purpose. Resident #6 had a tube of Muscle rub menthol ointment unsecured on a bedside table, which was used by a friend to apply on areas of pain. Interviews with staff, including two LPNs and the Director of Nursing, confirmed that medications should not be left unsecured in residents' rooms and must be stored in locked compartments or medication carts. The facility's policy on medication storage, dated January 25, 2024, mandates that all drugs and biologicals be stored in locked compartments under proper conditions. Despite this policy, the observations and interviews indicated a failure to adhere to these guidelines, resulting in unsecured medications in residents' rooms.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Daytona Beach
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seaside Health And Rehabilitation Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Blue Palms Health And Rehabilitation Center Of Day | 0.9 mi | ★★★★★ | 6 | 0 |
| Carlton Shores Healthcare And Rehabilitation Cente | 1.5 mi | ★★★★★ | 4 | 0 |
| Aviata At South Daytona | 2.5 mi | ★★★★★ | 2 | 2 |
| Solaris Healthcare Daytona | 3.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.