Deficiency Records for Beneva Lakes Healthcare and Rehabilitation Center
Updated as of February 01, 2022
This is not the most recent data for Beneva Lakes Healthcare and Rehabilitation Center. For the most recent information, click here.
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 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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 | 2021-12-18 | 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 |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-12-10 | 2021-01-10 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-12-10 | 2021-01-10 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-29 | 2020-08-29 | 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 | 2020-07-29 | 2020-08-29 | 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 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-18 | 2020-01-10 | 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 | 2019-04-03 | 2019-05-03 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-03 | 2019-05-03 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-04-03 | 2019-05-03 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-03 | 2019-05-03 | 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 | 2019-04-03 | 2019-05-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-03 | 2019-05-03 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-04-02 | 2019-05-03 | N |