A list of the most recent deficiencies for Beacon Hill. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-01-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-10 | 2023-09-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-18 | 2023-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-18 | 2023-09-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-18 | 2023-09-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-18 | 2023-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-18 | 2023-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-09 | 2022-09-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-15 | 2022-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-15 | 2022-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-09 | 2022-08-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-09 | 2022-08-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-10 | 2021-04-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-03-10 | 2021-04-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-03-10 | 2021-04-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-10 | 2021-04-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-03-10 | 2021-04-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-03-10 | 2021-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-10 | 2021-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-04 | 2021-03-16 | N |
