A list of the most recent deficiencies for Beechwood. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-20 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-02 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-10 | 2023-06-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-19 | 2023-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-10 | 2023-05-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-20 | 2023-05-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-20 | 2023-05-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-20 | 2023-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-20 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-05-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-20 | 2023-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-19 | 2022-08-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-19 | 2022-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-19 | 2022-08-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-16 | 2022-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-16 | 2022-08-24 | 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 | 2022-08-16 | 2022-08-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-09 | 2021-12-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-02-22 | 2021-05-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-22 | 2021-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-22 | 2021-05-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-03-01 | 2021-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-14 | 2019-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-14 | 2019-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-03-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-14 | 2019-03-28 | 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 | 2019-02-14 | 2019-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-28 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-02-14 | 2019-03-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-14 | 2019-03-28 | N |
