Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Beacon Hill At Eastgate during CMS and state inspections, most recent first.
A resident with severe cognitive impairment experienced multiple unwitnessed falls and sustained injuries that were not promptly or consistently communicated to the responsible party. Staff interviews and documentation revealed lapses in both reporting and documentation of these incidents, resulting in the family member being unaware of significant injuries until the resident's condition worsened.
A resident with severe cognitive impairment and a high risk for falls experienced multiple unwitnessed falls, with staff failing to complete thorough post-fall assessments and adequate monitoring. Despite repeated bruising, pain, and behavioral changes, injuries such as fractures and a hematoma were not promptly identified or communicated to the family or provider, resulting in delayed care and hospital transfer where multiple acute fractures were discovered.
Failure to Notify Responsible Party of Resident Falls and Injuries
Penalty
Summary
The facility failed to ensure timely and proper notification to a resident's responsible party regarding changes in condition, specifically related to multiple falls and subsequent injuries. The resident, who was severely cognitively impaired with a BIMS score of 3 and diagnoses including dementia and anxiety, experienced several unwitnessed falls over a period of weeks. Documentation revealed that the resident sustained injuries such as bruises and a hematoma, but these were not consistently or promptly communicated to the family member. The family member reported being notified of falls and injuries several days after the events, or not at all, and was unaware of significant injuries until the resident exhibited severe pain. Staff interviews confirmed that falls were sometimes not documented, and that incident reports did not always reflect the presence of injuries. On one occasion, a large bruise and a hematoma were discovered, but the findings were not reported to the provider or the family member. The family member only learned of the injury when an x-ray was ordered, leading to confusion and distress. Nursing notes corroborated the family member's concerns about lack of communication regarding the resident's pain and injuries.
Failure to Complete Thorough Post-Fall Assessments and Monitoring
Penalty
Summary
A resident with severe cognitive impairment, dementia, and anxiety, who required substantial assistance for transfers and toileting, experienced multiple unwitnessed falls over a period of several weeks. The resident's care plan identified a high risk for falls and included various interventions, such as increased rounding at night, use of non-skid footwear, and ensuring assistive devices were appropriately placed. Despite these interventions, the resident continued to fall, and documentation revealed repeated bruising and injuries, including a hematoma and bulge on the back of the head, as well as pain and behavioral changes following the falls. Post-fall assessments and monitoring were not thoroughly completed after each incident. Neurological checks were documented as normal, and there was no documentation of weakness or unusual movement of the resident's limbs in the 72 hours following each fall. Several injuries, including bruises and a hematoma, were not promptly identified or reported. Communication with the resident's family was inconsistent, with the family often being notified of falls days after they occurred or not at all. When the resident developed severe pain and visible injuries, the family had to insist on hospital transfer, where multiple acute fractures were discovered. Interviews with staff indicated that falls were sometimes not documented, and that the resident's pain and injuries were not always fully assessed or communicated to providers or family members. The Director of Nursing and Clinical Care Coordinator were aware of the resident's repeated falls and subsequent injuries but did not report all findings to the provider or family. The lack of thorough post-fall assessment, inadequate monitoring, and poor communication resulted in a delay in identifying serious injuries, including rib, pelvic, and sacral fractures.
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What surveyors actually found near you
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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 Grand Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clark Retirement Community | 1 mi | ★★★★★ | 0 | 0 |
| Holland Home - Raybrook Manor | 1.9 mi | ★★★★★ | 11 | 0 |
| Optalis Health And Rehabilitation Of Grand Rapids | 2 mi | ★★★★★ | 34 | 2 |
| Optalis Health & Rehabilitation At Kent-crossing | 2.2 mi | ★★★★★ | 33 | 0 |
| Mary Free Bed Sub-acute Rehabilitation | 2.7 mi | ★★★★★ | 2 | 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.