A list of the most recent deficiencies for Beacon Healthcare Center. 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? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-12-08 | 2023-12-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-19 | 2023-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-19 | 2023-12-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-19 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-19 | 2023-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-19 | 2023-12-13 | 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 | 2023-11-19 | 2023-12-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-11-19 | 2023-12-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-19 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-19 | 2023-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-19 | 2023-12-13 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-19 | 2023-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-29 | 2023-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-16 | 2023-07-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-19 | 2023-01-27 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-04 | 2023-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-04 | 2023-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-04 | 2023-01-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-04 | 2023-01-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-04 | 2023-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-04 | 2023-01-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-04 | 2023-01-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-04 | 2023-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-04 | 2023-01-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-03 | 2023-01-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-03 | 2023-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-12 | 2022-05-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-09 | 2021-07-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-07-28 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-27 | 2019-11-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-08-26 | 2019-09-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-26 | 2019-09-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-26 | 2019-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-26 | 2019-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-26 | 2019-09-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-26 | 2019-09-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-26 | 2019-09-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-26 | 2019-09-27 | 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 | 2019-08-26 | 2019-09-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-26 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-26 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-26 | 2019-09-27 | N |
