Deficiency Records for Beneva Lakes Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Beneva Lakes 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-12 | 2023-12-02 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-12 | 2023-12-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-12-02 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-12 | 2023-11-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-12 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-12 | 2023-11-12 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-12 | 2023-11-12 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-10-12 | 2023-11-12 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-12 | 2023-11-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-18 | 2023-11-12 | N |
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 | 2023-08-14 | 2023-09-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-02 | 2022-12-02 | Y |
Respond appropriately to all alleged violations. | Health | 2022-12-02 | 2022-12-02 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-12 | 2022-08-05 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-18 | 2022-06-18 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-18 | 2022-06-18 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-18 | 2022-06-18 | Y |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-16 | 2022-01-18 | 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 | 2021-11-18 | 2021-12-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-18 | N |
Provide or obtain dental services for each resident. | Health | 2021-11-18 | 2021-12-18 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-16 | 2021-12-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-16 | 2021-11-18 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-06-04 | 2021-07-04 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-04 | 2021-07-04 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-04 | 2021-07-04 | Y |
Respond appropriately to all alleged violations. | Health | 2021-06-04 | 2021-07-04 | Y |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-06-04 | 2021-07-04 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-06-04 | 2021-07-04 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-04 | 2021-07-04 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-06 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-06 | 2020-03-06 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-06 | 2020-03-06 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-02-06 | 2020-03-06 | 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 | 2020-02-06 | 2020-03-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-06 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-06 | 2020-03-06 | N |