A list of the most recent deficiencies for Beachwood Post-Acute and Rehab. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-25 | 2024-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-25 | 2024-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-12 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-09 | 2024-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-09 | 2024-02-07 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-09 | 2024-02-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-08 | 2024-02-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-08 | 2024-02-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-08 | 2024-02-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-08 | 2024-02-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-08 | 2024-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-08 | 2024-02-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-10 | 2024-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2023-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-15 | 2023-12-14 | Y |
| 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 | 2023-11-15 | 2023-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-12-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-09 | 2023-10-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-22 | 2023-09-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-22 | 2023-09-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-22 | 2023-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-29 | 2023-09-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-19 | 2023-08-04 | Y |
| 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 | 2023-07-19 | 2023-08-04 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-19 | 2023-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-11 | 2023-07-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-11 | 2023-07-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-11 | 2023-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-08 | 2023-07-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-12 | 2023-06-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-25 | 2023-06-16 | Y |
| Keep all essential equipment working safely. | Health | 2023-05-25 | 2023-06-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-15 | 2023-05-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-20 | 2023-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-19 | 2023-02-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-19 | 2023-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-02-06 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-01-19 | 2023-02-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-18 | 2023-01-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-23 | 2023-01-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-21 | 2022-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-21 | 2022-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-21 | 2022-11-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-20 | 2022-11-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-20 | 2022-10-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-20 | 2022-10-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-21 | 2022-10-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-10-14 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-09-21 | 2022-10-14 | Y |
| 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 | 2022-08-12 | 2022-08-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-02 | 2022-08-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-02 | 2022-08-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-07 | 2022-07-22 | Y |
| 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 | 2022-05-30 | 2022-06-09 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-28 | 2022-05-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-28 | 2022-05-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-28 | 2022-05-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-28 | 2022-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-28 | 2022-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-05-20 | 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 | 2022-04-28 | 2022-05-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-28 | 2022-05-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-05-20 | 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 | 2022-04-28 | 2022-05-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-04-28 | 2022-05-20 | 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 | 2022-04-28 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-05-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-28 | 2022-05-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-29 | 2022-05-20 | 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 | 2022-04-29 | 2022-05-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-29 | 2022-05-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-14 | 2022-05-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-14 | 2022-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-23 | 2022-04-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-16 | 2022-03-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-16 | 2022-03-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-17 | 2022-03-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-17 | 2022-03-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-17 | 2022-03-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-07 | 2022-02-18 | Y |
| 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 | 2022-02-07 | 2022-02-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-07 | 2022-02-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-15 | 2022-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-13 | 2022-01-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-15 | 2021-12-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-16 | 2021-12-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-10 | 2021-11-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-09-30 | 2021-10-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-19 | 2021-09-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-06 | 2021-09-24 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-15 | 2021-07-28 | Y |
| 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 | 2021-07-15 | 2021-07-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-25 | 2021-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-08 | 2019-09-03 | 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 | 2019-08-08 | 2019-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-08 | 2019-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-08 | 2019-09-03 | 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 | 2019-08-09 | 2019-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-09 | 2019-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-09 | 2019-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-09 | 2019-09-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-09 | 2019-09-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-08-10 | 2018-10-24 | 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 | 2018-08-10 | 2018-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-10 | 2018-10-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-08-10 | 2018-10-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-10 | 2018-10-24 | 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 | 2018-08-10 | 2018-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-10 | 2018-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-10 | 2018-10-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-10 | 2018-10-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-08-10 | 2018-10-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-10 | 2018-10-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-10 | 2018-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-10 | 2018-10-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-10 | 2018-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-10 | 2018-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-10 | 2018-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-10 | 2018-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-10 | 2018-10-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-08-10 | 2018-10-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-10 | 2018-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-10 | 2018-10-04 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-08-10 | 2018-10-04 | 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 | 2018-08-10 | 2018-10-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-10 | 2018-10-04 | 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 | 2018-08-10 | 2018-10-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-10 | 2018-10-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-10 | 2018-09-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-10 | 2018-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-10 | 2018-09-13 | N |
