Deficiency Records for Beatitudes Campus
Updated as of July 01, 2020
This is not the most recent data for Beatitudes Campus. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-10 | 2019-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-10 | 2019-11-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-10-10 | 2019-11-29 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-17 | 2018-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-17 | 2018-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-17 | 2018-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-17 | 2018-09-14 | 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 | 2018-08-17 | 2018-09-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-17 | 2018-09-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-23 | 2017-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-23 | 2017-07-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-23 | 2017-07-24 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-06-23 | 2017-07-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-06-23 | 2017-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-23 | 2017-07-24 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-06-21 | 2017-07-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-21 | 2017-07-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-21 | 2017-07-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-21 | 2017-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-21 | 2017-07-20 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-21 | 2017-07-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-21 | 2017-07-20 | N |
