A list of the most recent deficiencies for Beatitudes Campus. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-20 | 2023-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-04-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-20 | 2023-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-20 | 2023-04-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-20 | 2023-04-07 | N |
| Post nurse staffing information every day. | Health | 2023-01-20 | 2023-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-04-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-01-20 | 2023-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-20 | 2023-03-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-01-14 | 2022-02-04 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-14 | 2022-02-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-14 | 2022-02-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-14 | 2022-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-01-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-01-13 | 2022-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-01-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-10 | 2019-11-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-10 | 2019-11-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-10 | 2019-11-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-10 | 2019-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-10 | 2019-11-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-10 | 2019-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-10 | 2019-11-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-10 | 2019-11-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-10 | 2019-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-11 | 2019-11-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-11 | 2019-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-11 | 2019-11-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-11 | 2019-11-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-10-11 | 2019-11-29 | N |
