Deficiency Records for North Beach Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for North Beach Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-09-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-31 | 2023-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-31 | 2023-09-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-31 | 2023-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-09-29 | N |
| Post nurse staffing information every day. | Health | 2023-08-31 | 2023-09-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-31 | 2023-09-29 | 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 | 2023-08-31 | 2023-09-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-31 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-15 | 2023-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-15 | 2023-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-30 | 2023-04-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-30 | 2023-04-29 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-25 | 2022-09-25 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-25 | 2022-09-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-25 | 2022-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-25 | 2022-09-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-25 | 2022-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-25 | N |
| Keep all essential equipment working safely. | Health | 2022-08-25 | 2022-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-09-25 | 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 | 2021-09-23 | 2021-10-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-23 | 2021-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-23 | 2021-10-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-23 | 2021-10-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-23 | 2021-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-06 | 2020-03-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-06 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-06 | 2020-02-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-06 | 2020-02-27 | N |
