Average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Continuing Healthcare At Beckett House during CMS and state inspections, most recent first.
Several resident rooms were found to be below the required temperature range, with some as low as 64 to 68 degrees Fahrenheit. Multiple residents with significant medical conditions reported their rooms were cold, requiring them to use extra blankets or wear additional clothing. The Maintenance Director was aware of the heating issues and had reported them, but replacement equipment had not yet been ordered, resulting in ongoing discomfort for affected residents.
A dependent resident with multiple chronic conditions did not receive consistent assistance with ADLs, including bathing and prescribed scalp treatments, as documented by missed or incomplete care records. The resident developed a maggot infestation in the hair and scalp, with environmental factors such as persistent fly activity in the room contributing to the incident. Staff interviews and pest control records confirmed ongoing fly issues during the period of deficient care.
Surveyors found that multiple residents lived in rooms with stained floors, damaged walls, missing baseboards, and unpainted plaster, with some residents and staff confirming awareness of these issues. The facility did not ensure a clean, safe, and homelike environment for its residents.
The facility did not provide community outings or outside activities for residents due to the absence of a working transport vehicle. Two residents reported their requests for outings, such as shopping, were not addressed, and staff confirmed that no outside activities had occurred since the facility's vehicle became inoperable. Efforts to arrange alternative transportation had not yet resulted in a solution.
A resident with severe cognitive impairment and multiple diagnoses received PRN Ativan gel for agitation and anxiety without a required 14-day stop date. The medication was administered repeatedly over several months, contrary to facility policy and regulations, as confirmed by interviews with clinical leadership.
A resident who was dependent for hygiene and had a care plan intervention for clean eyeglasses was observed to have dirty glasses on two consecutive days, with white smears and debris present. A CNA confirmed the resident could not clean the glasses independently and attempted to clean them, but the glasses remained soiled, indicating a failure to provide required assistance with activities of daily living.
A pharmacist did not identify that a PRN antianxiety medication required a 14-day stop date, resulting in a resident with severe cognitive impairment continuing to receive the medication for several months beyond the policy limit. Pharmacy reviews did not address the issue, as both routine and PRN medications were placed on the same prescription, and no recommendation was made to discontinue the medication as required.
A resident with significant medical needs and an order for compression stockings was observed multiple times without the stockings applied, despite documentation indicating otherwise. An RN admitted to signing off on the treatment before it was completed, and the DON confirmed that treatments should only be documented after completion.
An LPN did not wash hands between glove changes while preparing and administering medications to two residents, instead relying on glove changes and hand sanitizer. This lapse in infection control was confirmed by the LPN during an interview and was observed during medication administration.
The facility failed to ensure the Activities Director met required qualifications, as the individual lacked necessary experience and declined to complete state-approved training. Activities aides reported insufficient training, poor communication, and lack of support, resulting in disorganization and unmet needs within the activities program.
The facility failed to maintain a clean and safe environment, affecting several residents. A resident's bathroom had a missing floor tile, while another area had unsecured soiled linens with gnats. Two residents' rooms had structural issues, including damaged drywall and cracked flooring. These deficiencies were confirmed by the Maintenance Director.
A resident with severe cognitive impairment and dependency on staff for personal hygiene received inadequate incontinence care. The CNA used two wet washcloths without a barrier, soap, or wash basin, and did not follow proper hand washing and glove use procedures. The facility's policy for incontinence care, which includes using a mild cleanser and applying a protective barrier ointment, was not adhered to during the care provided.
The facility failed to maintain windows in good repair, affecting all residents. Observations revealed dirty, streaked windows with debris, torn screens, and some windows cracked or shattered. Despite resident complaints since February, the Maintenance Director and Administrator cited financial constraints for not addressing the issues, even though new screens were available. This deficiency was investigated under Complaint Number OH00154202, highlighting a failure to provide a safe and clean living environment.
A facility failed to disinfect glucometers used for multiple residents, as observed with two RNs who did not clean the devices between uses. One RN admitted to only wiping down glucometers in the morning and possibly at lunch, while another RN used a glucometer on several residents consecutively without cleaning it. The facility's policy and manufacturer guidelines require cleaning after each use to prevent pathogen transmission.
The facility failed to accommodate the bathing preferences of two residents, leading to a deficiency. One resident with paraplegia preferred showers but received bed baths despite having a bariatric shower chair available. Another resident with chronic conditions also preferred showers but was given bed baths. The DON confirmed that the residents' preferences were not met, violating the facility's policy on Activities of Daily Living.
The facility failed to maintain a homelike environment, affecting two residents who reported unclean windows and broken screens. Despite complaints, the Maintenance Director and Administrator cited budget constraints and ongoing renovations as reasons for not addressing the issues. Observations confirmed the disrepair, violating the facility's Resident Rights policy.
Failure to Maintain Resident Room Temperatures Within Required Range
Penalty
Summary
The facility failed to maintain all resident rooms at a comfortable temperature, as required by policy, affecting seven out of thirteen residents reviewed for heating concerns and potentially impacting all thirteen. Temperature audits conducted on multiple dates revealed that several resident rooms consistently measured below the facility's required range of 71 to 81 degrees Fahrenheit, with some rooms recorded as low as 64 to 68 degrees. Residents with various medical conditions, including dementia, chronic obstructive pulmonary disease, congestive heart failure, polyneuropathy, myocardial infarction, and muscle wasting, were affected. Interviews with residents confirmed that several rooms were cold, with some residents resorting to using multiple blankets or wearing extra clothing to stay warm, and one resident specifically noted difficulty moving due to the need for extra blankets. The Maintenance Director acknowledged awareness of non-functioning or failing heating units and stated that he had reported these concerns to corporate supervisors, but replacement equipment had not yet been ordered until recently. The Maintenance Director had been monitoring room temperatures for several weeks and confirmed that the facility's policy required temperatures to be maintained between 71 and 81 degrees Fahrenheit unless otherwise requested by a resident. The facility's policy on temperature extremes, dated June 2019, was reviewed and confirmed this requirement. The deficiency was identified during a complaint investigation and was supported by direct observations, resident interviews, and temperature audit records.
Failure to Provide Adequate ADL Assistance and Environmental Control Resulting in Myiasis
Penalty
Summary
A dependent resident with multiple sclerosis, neuromuscular dysfunction of the bladder, seborrheic dermatitis, and cellulitis of the head was not provided with adequate assistance for activities of daily living (ADLs), including personal hygiene. The resident required staff assistance for bed mobility, oral hygiene, toileting, eating, bathing, and transfers, and had physician orders for medicated shampoo and topical creams to be applied to the scalp. Documentation revealed missed or undocumented bathing and shower care on multiple dates, and the resident reported not receiving prescribed scalp medications prior to a hospital transfer. The resident was later found to have live maggots in her hair and scalp, prompting immediate intervention and notification of hospice and the physician. Environmental factors contributed to the deficiency, as the facility had ongoing issues with flies in the resident's room, which may have exposed the resident's scalp wound. Pest control invoices confirmed fly activity during the relevant period, and both nursing and maintenance staff acknowledged persistent fly problems. The lack of consistent ADL care, incomplete documentation, and environmental pest issues led to the resident's compromised hygiene and the development of myiasis (maggot infestation) in the scalp.
Failure to Maintain Safe and Homelike Resident Environment
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's physical environment, including stained and damaged flooring, holes and gouges in walls, missing or broken baseboards, and unpainted plastered areas in several resident rooms. Specific findings included dark yellow-orange stains in front of toilets, cracked and broken linoleum tiles, damaged drywall, and large holes in walls behind furniture. In some cases, wires were left hanging from old phone jacks, and baseboards were missing between rooms. These issues were noted in the rooms of at least twelve residents, affecting both the living and bathroom areas. Interviews with residents and staff confirmed awareness of these environmental problems. Residents reported that some wall damage was caused by staff moving beds, and maintenance staff acknowledged the presence of gouges and missing baseboards. The administrator also confirmed knowledge of the environmental issues and described the facility's approach to addressing larger maintenance projects. The observations and interviews collectively demonstrated that the facility failed to maintain a clean, safe, and homelike environment for its residents.
Failure to Provide Community Outings Due to Lack of Resident Transport
Penalty
Summary
The facility failed to provide preferred resident activities, specifically community outings, due to the lack of a working vehicle for resident transport. Two residents expressed their desire to participate in outings such as shopping, but reported that their requests had not been addressed. Resident council meeting minutes also reflected a desire among residents for future outings. Review of the activity calendars from January to May 2025 showed no scheduled outside activities, and the June calendar listed an outing without specifying the activity. Staff interviews confirmed that the facility had not had a working vehicle for resident outings since May 2024, and that no outside activities had been conducted during this period. The Activity Director, who had been with the facility since October 2024, acknowledged that no community outings had occurred and that efforts to borrow a vehicle from another facility had not yet resulted in a plan. Staff responsible for transportation confirmed the lack of a working vehicle and noted that the only scheduled outing would need to be rescheduled due to unavailability of a driver. The Administrator confirmed the ongoing lack of transportation and stated that arrangements to borrow a vehicle were still in progress.
Failure to Discontinue PRN Psychotropic Medication After 14 Days
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a psychotropic medication, specifically Ativan (Lorazepam) gel, prescribed for a resident with Alzheimer's disease and other significant diagnoses, had a required 14-day stop date. The medication was ordered as an as-needed (PRN) controlled substance for agitation and anxiety, but the order did not include a 14-day limitation as mandated by facility policy and regulations. Despite the absence of a stop date, the medication continued to be administered to the resident on multiple occasions over several months. Record review showed that the medication was given repeatedly after the period it should have been discontinued, with administration dates spanning several months beyond the initial order. Interviews with both the Regional Clinical Support and the Director of Nursing confirmed that the facility did not follow its own policy or regulatory requirements regarding the 14-day stop for PRN psychotropic medications. The facility's policy clearly stated that such orders should not be renewed beyond 14 days without a healthcare practitioner's evaluation, which did not occur in this case.
Failure to Maintain Clean Eyeglasses for Dependent Resident
Penalty
Summary
A deficiency was identified when a dependent resident's eyeglasses were observed to be dirty on two consecutive days. The lenses had white smears and debris embedded where the lenses met the frame. The resident's care plan included an intervention to ensure eyeglasses were kept clean, and the resident was documented as dependent for hygiene and moderately impaired for daily decision making. During the second observation, a CNA confirmed the glasses were soiled and acknowledged that the resident would not be able to clean them independently. The CNA stated she had cleaned the glasses in the past using wipes from the nurse station and, on this occasion, attempted to clean them with soap and water at the bathroom sink. Despite these efforts, the glasses remained dirty, indicating a failure to provide necessary assistance with activities of daily living as outlined in the resident's care plan.
Pharmacist Failed to Identify 14-Day Stop Date for PRN Antianxiety Medication
Penalty
Summary
A deficiency occurred when the facility pharmacist failed to identify that a psychotropic medication, specifically an as needed (PRN) antianxiety medication (Compound: Ativan/Lorazepam Gel), required a 14-day stop date in accordance with facility policy. The medication was ordered for a resident with multiple diagnoses, including Alzheimer's disease, dementia, and adjustment disorder with mixed anxiety and depression. The resident was severely impaired in daily decision-making and exhibited disorganized thinking. Despite the facility's policy stating that PRN antipsychotic medications should not be renewed beyond 14 days without a healthcare practitioner evaluation, the medication was administered multiple times over several months after the initial 14-day period had passed. Pharmacy reviews conducted over several months did not identify the need for a 14-day stop date for the PRN antianxiety medication. The pharmacist explained that both the routine and PRN antianxiety medications were placed on the same prescription, which did not trigger a recommendation to discontinue the PRN medication after 14 days. As a result, the medication continued to be administered well beyond the policy's required stop date, and no pharmacy recommendation was made to the physician to address this issue.
Inaccurate Documentation of Compression Stocking Application
Penalty
Summary
A deficiency was identified when a resident with multiple diagnoses, including hemiparesis, cerebral infarction, congestive heart failure, and chronic ischemic heart disease, did not have accurate documentation in their medical record regarding the application of compression stockings. The resident required significant assistance with activities of daily living and had an order for compression stockings to be applied to both lower legs for skin integrity. The treatment record indicated that the compression stockings were documented as applied on a specific date and time. However, direct observations at three different times on the same day revealed that the compression stockings were not applied to the resident. During an interview, an RN confirmed that the compression stockings had not yet been applied but acknowledged that he had already signed off in the treatment record as if the application had been completed. The Director of Nursing stated that her expectation was for treatments to be signed off only after they were completed.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
During medication administration, a Licensed Practical Nurse (LPN) failed to perform proper hand hygiene between glove changes while preparing and administering medications to two residents. Specifically, the LPN put on gloves to prepare medication for one resident, removed the gloves, donned new gloves without washing her hands, and administered the medication. After removing gloves and using hand sanitizer, the LPN again put on new gloves to prepare medication for another resident, changed gloves, and administered the medication without washing hands between glove changes. The LPN confirmed in an interview that hand washing was not performed between glove changes during these medication passes. This deficiency was identified through direct observation and staff interview, affecting two of six residents observed for medication administration.
Unqualified Activities Director and Inadequate Department Training
Penalty
Summary
The facility failed to ensure that the Activities Director (AD) was qualified for the position as required by the facility's job description and regulatory standards. Review of the AD's personnel file showed that the individual had only limited prior experience in activities, which did not meet the minimum qualifications outlined for the role. There was no evidence in the personnel file that the AD was a qualified therapeutic recreation specialist, licensed activities professional, occupational therapist, or had completed a state-approved training course. The AD confirmed in an interview that, although administration discussed the need for approved training, she declined to pursue it. Further interviews with activities aides revealed additional concerns related to inadequate training and poor communication within the activities department. Activities aides reported feeling overwhelmed, lacking proper orientation, and not receiving guidance from the AD. They described issues such as insufficient supplies, lack of planned events for special occasions, and unclear instructions regarding activities. The administrator confirmed that the AD did not meet the required qualifications for the position, and acknowledged ongoing issues within the department.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a clean and safe living environment for its residents, as evidenced by several observations during a survey. Resident #40, who was admitted with diagnoses including myocardial infarction and cerebral infarction, was found to have a missing floor tile at the entrance of his shower, which had been broken since his admission. Additionally, the 500-hall central bath was observed with unsecured bags of soiled linens, which were covered with a dark brown substance and surrounded by gnats, indicating a lack of proper sanitation and hygiene practices. Further observations revealed structural deficiencies in the rooms of other residents. Resident #6's room had heavily damaged drywall with large pieces missing, exposing the inner wall, and an outlet box without a cover, posing potential safety hazards. Resident #67's room had a cracked floor with missing tile pieces and black build-up on the subflooring, indicating neglect in maintenance. These deficiencies were verified by the Maintenance Director, confirming the facility's non-compliance with maintaining a safe and homelike environment for its residents.
Inadequate Incontinence Care Provided to Resident
Penalty
Summary
The facility failed to provide adequate incontinence care for a resident who was dependent on staff for toileting and personal hygiene. The resident, who was admitted with diagnoses including a displaced right femur fracture, diabetes mellitus, and unspecified dementia, was observed receiving incontinence care that did not adhere to the facility's policy. During the observation, a CNA used two wet washcloths without a barrier beneath them and without soap or a wash basin. The CNA washed the resident's perineal area and rectal area, where a bowel movement was present, using the same washcloths, and dried the resident with a towel. The CNA did not follow proper procedures for hand washing and glove use, as she only changed gloves once during the process. The facility's policy required the use of perineal wash or a mild cleanser, pat drying, and the application of a protective barrier ointment, which were not observed during the care provided. This deficiency was identified during a complaint investigation and affected one of four residents sampled for activities of daily living.
Facility Fails to Maintain Windows in Good Repair
Penalty
Summary
The facility failed to maintain the windows in good repair, affecting the safety and cleanliness of the environment for all residents. Observations on the 200, 300, 400, and 500 Hall sunrooms revealed windows that were streaked, dirty, and covered with debris. Several windows had torn screens, and some were cracked or shattered, with one window being held together with duct tape. These conditions were noted during a survey conducted on June 13, 2024, and were corroborated by interviews with the Maintenance Director and the Administrator, who acknowledged the disrepair but cited financial constraints as a reason for not addressing the issues. Residents had been complaining about the state of the windows since February 2024, as confirmed by an interview with an Ombudsman. Despite being aware of the complaints and the disrepair, the Maintenance Director admitted to not taking steps to replace the shattered window or install new screens, even though they were available. The Administrator also acknowledged the problem but indicated that recent renovations had exhausted the budget, preventing further expenditures on window repairs. This deficiency was investigated under Complaint Number OH00154202, highlighting a failure to provide a safe and clean living environment as per the facility's Resident Rights policy.
Failure to Disinfect Shared Glucometers
Penalty
Summary
The facility failed to ensure that glucometers used for multiple residents were cleaned and disinfected between uses, affecting four residents observed during medication administration. On the morning of June 13, 2024, Registered Nurse (RN) #100 used a glucometer to monitor the blood glucose level of Resident #21 without disinfecting it afterward. The glucometer was placed back into a basket with new lancets and returned to the medication cart without any cleaning. RN #100 admitted that the glucometers were only wiped down in the morning and possibly around lunch, confirming that the glucometer was not disinfected after each use. Similarly, RN #105 also failed to disinfect the glucometer after checking the blood glucose levels of multiple residents. During the same morning, RN #105 dropped a basket containing the glucometer and other supplies on the floor, then proceeded to use the items without disinfecting them. The glucometer was used on several residents consecutively without cleaning, and RN #105 acknowledged not following appropriate infection control protocols. The facility's policy and the manufacturer's guidelines both require cleaning and disinfecting the glucometer after each use to prevent the transmission of blood-borne pathogens.
Failure to Accommodate Resident Bathing Preferences
Penalty
Summary
The facility failed to accommodate the bathing preferences of two residents, resulting in a deficiency. Resident #31, who has diagnoses including paraplegia and congestive heart failure, expressed a preference for showers over bed baths. Despite having intact cognition and the availability of a bariatric shower chair, Resident #31 received bed baths on multiple occasions instead of showers. Interviews with the resident and the Director of Nursing (DON) confirmed that the resident's preference for showers was not being met. Similarly, Resident #34, with diagnoses such as atherosclerotic heart disease and chronic kidney disease, also preferred showers. However, the resident received bed baths on several occasions, contrary to her stated preference. The DON confirmed that Resident #34's preference for showers was not accommodated. The facility's policy on Activities of Daily Living, which emphasizes factoring resident preferences into daily activities, was not adhered to in these cases. This deficiency was investigated under Complaint Number OH00153926.
Failure to Maintain Homelike Environment
Penalty
Summary
The facility failed to maintain a homelike environment for its residents, specifically affecting two residents out of three interviewed. Residents had been complaining since February about unclean windows and broken screens, which had not been addressed by the facility. The Maintenance Director acknowledged the issue, stating that while new screens were available, they had not been installed due to ongoing renovations and budget constraints. The Administrator was aware of the disrepair but cited financial limitations as a reason for not addressing the window issues, given the recent million-dollar renovation. Resident #4 expressed dissatisfaction with the broken screens, which prevented her from enjoying fresh air without the risk of insects entering her room. Observations confirmed that her screens were torn, and her roommate lacked a screen entirely. Resident #62 also reported dirty windows and broken screens, which hindered her ability to open her window. An RN confirmed the presence of a cracked window and torn screens in Resident #62's room. The facility's Resident Rights policy, which guarantees a safe and clean living environment, was not upheld, leading to this deficiency.
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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 New Concord
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Enclave At Cambridge | 8.4 mi | ★★★★★ | 20 | 0 |
| Embassy Of Cambridge | 9.1 mi | ★★★★★ | 3 | 0 |
| Altercare Cambridge Inc. | 9.6 mi | ★★★★★ | 14 | 0 |
| Oaks At Bethesda The | 14.5 mi | ★★★★★ | 4 | 0 |
| Continuing Healthcare At Willow Haven | 14.8 mi | ★★★★★ | 58 | 0 |
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