Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beacon Hill Rehabilitation during CMS and state inspections, most recent first.
A resident’s bed was observed positioned against the wall, and the resident said it had always been that way. Record review showed no safety assessment, consent, care plan, or MD order for the bed placement. An RCM/LPN stated the facility normally completes those steps before placing a bed against a wall and confirmed the resident had no intervention for it; the bed should not have been there.
A resident with severe cognitive impairment had an inaccurate MDS that failed to capture a Wander Guard alarm bracelet and incorrectly coded Clopidogrel as an anticoagulant instead of an antiplatelet. The resident was observed with the Wander Guard on the left ankle, and the chart showed physician orders and the eMAR documenting the device checks and daily Clopidogrel use; the RCM/LPN and DON acknowledged the coding errors.
A resident received PRN oxycodone for pain levels below the ordered parameters, a second resident did not have both ordered fall mats in place as documented in the care plan, and a third resident’s PICC dressing was found overdue for a weekly change while receiving IV ABO. Staff confirmed the pain med was outside the ordered range, the right-side fall mat was not properly positioned, and the PICC dressing change had been missed.
Improper Food Storage and Labeling: Surveyors found multiple opened, unlabeled, and/or undated food items in the kitchen walk-in refrigerator and outside walk-in freezer, including tuna salad sandwiches, salsa, pepperoni, sliced American cheese, whipped topping, and meatless chicken bites. The facility policy required items to be labeled with a UB date and discarded when past that date, and the Dietary Manager and Administrator both stated food in storage should be labeled accurately and discarded by the use by date.
A resident experienced increasing visual hallucinations after the discontinuation of Seroquel, a medication initially prescribed for hallucinations. Despite the resident's ongoing distress and hallucinations, the facility failed to adequately notify the physician of the resident's condition, resulting in untreated medical issues and a diminished quality of life.
A facility failed to provide a resident with activities that matched their preferences, specifically car magazines, despite documentation indicating these would be provided. The resident, who was alert and oriented, expressed interest in motorsports-related materials, but activity participation reports did not show these were offered. The Activities Director and Administrator acknowledged the need to meet residents' preferences.
The facility failed to implement physician orders for edema treatment in a resident with chronic congestive heart failure, as the resident was observed without prescribed ted hose, resulting in visible swelling and fluid leakage. Additionally, the facility did not follow its bowel protocol for another resident, who went five days without a bowel movement, as no intervention was documented or administered after four days as required.
A resident with chronic respiratory failure was observed receiving oxygen at 3.5L/min, exceeding the prescribed rate of 2-3L/min. Facility staff were unable to provide documentation of the resident's oxygen use, indicating a failure to monitor and record oxygen therapy as per the facility's policy.
Bed Positioned Against Wall Without Required Authorization
Penalty
Summary
The facility failed to ensure Resident 43 was free from a physical restraint when the resident’s bed was observed positioned against the wall on the window side of the room. Resident 43 was admitted to the facility on [DATE], and the 5-Day MDS dated 03/02/2026 indicated the resident was alert and oriented. During an observation and interview on 05/19/2026 at 9:02 AM, Resident 43 stated the bed had always been like that, and on 05/20/2025 at 2:36 PM the bed was still against the wall. Record review did not show an assessment, consent, care plan, or physician’s order for the bed being against the wall. Staff H, Resident Care Manager/LPN, stated that before a bed was placed against a wall the facility would complete a safety assessment, obtain consent, obtain an order, and update the care plan, and said Resident 43 did not have an intervention for the bed to be against the wall. Staff H also stated the nursing assistant could have accidentally pushed the bed against the wall and that the bed should not be there.
Inaccurate MDS Coding for Wander Guard and Clopidogrel
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) was completed accurately for Resident 7, who was admitted to the facility and was documented as severely cognitively impaired on the Quarterly MDS. The MDS did not capture that the resident used a Wander Guard alarm bracelet, even though physician orders dated 11/19/2025 and 12/02/2025 directed staff to monitor Wander Guard placement to the left ankle every shift, and the care plan dated 11/22/2025 documented that the resident utilized enabling devices and required Wander Guard checks every shift. During observation on 05/20/2026, Resident 7 was seen sitting in the third-floor lobby with a Wander Guard alarm bracelet attached to the left ankle. The MDS also coded the resident as taking an anticoagulant medication and not taking an antiplatelet medication, but physician orders dated 11/12/2025 showed the resident was prescribed Clopidogrel, and the May 2026 eMAR showed daily administration of Clopidogrel. Staff D stated the Wander Guard was not captured on the MDS and acknowledged he had mistaken Clopidogrel for an anticoagulant, while Staff B confirmed the Wander Guard should have been captured and that Clopidogrel was not an anticoagulant.
Failure to Follow Medication, Fall Protection, and PICC Dressing Orders
Penalty
Summary
Physician orders and care plans were not followed for Resident 30, Resident 2, and Resident 4. Resident 30, who was alert and oriented, had an order for oxycodone 1 tablet every 6 hours as needed for pain level 6-10 not relieved by non-opioid treatment. The eMAR documented oxycodone was given for pain levels of 4, 5, and 3. Staff stated pain should be assessed, non-pharmacological interventions attempted first, and the medication should not have been given for pain levels of 3 to 5 under the existing order. Resident 2, who was moderately cognitively impaired, had physician orders and a care plan for fall mats to the right and left sides of the bed. Observations showed a mat on the left side of the bed, while the right-side mat was missing, later found leaning against an open closet instead of being placed on the floor. Resident 4, who was severely cognitively impaired and receiving IV medications, had an order for weekly PICC dressing changes. The PICC dressing on the upper left arm was observed dated 5/9, nine days earlier, and staff identified this as a missed treatment.
Improper Food Storage and Labeling
Penalty
Summary
Food items were not properly labeled, dated, or stored in 2 of 5 walk-in refrigeration devices. During observation of the kitchen walk-in refrigerator, surveyors found two plates of tuna salad sandwiches wrapped in plastic wrap and labeled with a UB date of 05/17/2026, along with several opened items that were undated and unlabeled, including a 6 lb plastic container of salsa, a 5 lb resealable bag of pepperoni, a block of sliced American cheese with plastic wrapping coming undone and exposing the cheese, and 16 oz of whipped topping that was opened, cut on the bottom corner, unlabeled, and stored with wrapping coming undone. During observation of the outside walk-in freezer, surveyors found an opened and unlabeled plastic bag of meatless chicken bites. The facility policy titled Policy/Procedure-Food Storage, revised February 2025, stated that all items placed in the refrigerator must be labeled and dated with a UB or Use By date, that the UB label is good for 2 days after the date it is placed for a total of 3 days, and that items past the UB date or any perishable, non-sealed, non-marked item will be discarded. In interview, the Dietary Manager stated that food items going into storage should be labeled with a use by date and discarded by that date, and then discarded the unlabeled items found during the observation. The Administrator stated he expected food items in the refrigerators to be labeled accurately and discarded by the use by date.
Failure to Notify Physician of Resident's Ongoing Hallucinations
Penalty
Summary
The facility failed to ensure ongoing physician notifications were made when a resident experienced a change of condition related to medication discontinuation and the need for a significant change in treatment. Resident 162, who was moderately cognitively impaired, was initially prescribed Seroquel for hallucinations during a hospital stay. Upon readmission to the facility, the resident's Seroquel dosage was reduced and eventually discontinued based on a pharmacist's recommendation. Following the discontinuation, the resident began experiencing increasing visual hallucinations, including seeing mice, snakes, and other imaginary creatures, which affected the resident's sense of safety and appetite. Despite these ongoing hallucinations, the facility did not adequately notify the physician of the resident's deteriorating condition. Although the Director of Nursing Services claimed that the medical director was notified by email on one occasion, there was no documentation of further physician notifications over the subsequent ten days. This lack of communication placed the resident at risk for untreated medical conditions and a diminished quality of life, as the hallucinations continued to distress the resident without appropriate medical intervention.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide resident-centered activities that incorporated the preferences of a resident, identified as Resident 37, who was admitted to the facility and was alert and oriented. The resident expressed a preference for activities related to cars or motorsports, specifically requesting car magazines. The Activity - Admission Evaluation documented that car magazines would be provided, and the Activity - Quarterly Evaluation confirmed that these had been provided. However, the activity participation reports for February and March 2025 did not indicate that Resident 37 had been offered or had refused car magazines. During an interview, Resident 37 reiterated his interest in motorsports-related materials, and the Activities Director acknowledged that they strive to meet residents' preferences. The Administrator stated that activities should develop a plan to cater to residents' preferences and provide the necessary services.
Failure to Implement Physician Orders for Edema and Bowel Management
Penalty
Summary
The facility failed to implement physician orders for the treatment of edema in Resident 21, who was admitted with chronic congestive heart failure. Despite a physician order for ted hose to be worn during the day and removed at night, Resident 21 was observed multiple times without the ted hose, and reported never having received them. Staff members, including nursing assistants and a Licensed Practical Nurse, confirmed the absence of ted hose and the lack of documentation or task prompts for their application. This oversight resulted in visible swelling and fluid leakage from Resident 21's leg, indicating untreated edema. Additionally, the facility did not follow its bowel protocol for Resident 24, who went five days without a bowel movement. The protocol required intervention with a laxative after four days without a bowel movement, but no such intervention was documented or administered. Staff members acknowledged that the bowel protocol should have been initiated on the fourth day without a bowel movement, but it was not, leading to a delay in addressing Resident 24's bowel management needs.
Failure to Monitor Oxygen Therapy
Penalty
Summary
The facility failed to ensure proper monitoring of oxygen therapy for a resident, identified as Resident 21, who was admitted with a diagnosis of oxygen dependence related to chronic respiratory failure. The physician's order specified that oxygen should be administered at 2L/min at rest and 2-3L/min with activity. However, observations on multiple occasions revealed that the resident was receiving oxygen at a rate of 3.5L/min, which exceeded the prescribed amount. This discrepancy was not documented in the resident's medical record, indicating a lack of adherence to the facility's policy on oxygen administration. Interviews with facility staff, including a Resident Care Manager and the Director of Nursing Services, revealed that there was no documentation available to confirm that the resident's oxygen use was being monitored according to the physician's order. Staff members were unable to locate records of the oxygen flow rate being administered to the resident, highlighting a failure in maintaining accurate medical records and monitoring the resident's respiratory care as required by the facility's policy.
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Illustrative
What surveyors actually found near you
We read the 68 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
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Nursing homes near Longview
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frontier Rehabilitation And Extended Care | 2.5 mi | ★★★★★ | 21 | 0 |
| Americana Health And Rehabilitation | 3.1 mi | ★★★★★ | 9 | 0 |
| Woodland Convalescent Center | 20.6 mi | ★★★★★ | 2 | 0 |
| Saint Helens Post Acute | 22.1 mi | ★★★★★ | 36 | 0 |
| Avalon Care Center - Scappoose | 28.9 mi | ★★★★★ | 16 | 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 August 2026) and official state health department websites.