A list of the most recent deficiencies for Beech Grove Meadows. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-07-11 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-19 | 2023-07-10 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-19 | 2023-07-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-19 | 2023-07-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-19 | 2023-07-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-19 | 2023-07-10 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-06-28 | 2022-07-26 | 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 | 2022-06-28 | 2022-07-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-24 | 2022-06-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-07-13 | Y |
Provide emergency officials' contact information. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Establish staff and initial training requirements. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-02 | 2020-02-11 | 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 | 2020-01-02 | 2020-02-11 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-02 | 2020-02-11 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-02 | 2020-02-11 | 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 | 2019-10-16 | 2019-11-15 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-16 | 2019-11-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-16 | 2019-11-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-16 | 2019-11-15 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-16 | 2019-11-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-16 | 2019-11-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-16 | 2019-11-15 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-10-16 | 2019-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-16 | 2019-11-15 | N |
Dispose of garbage and refuse properly. | Health | 2019-10-16 | 2019-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-16 | 2019-11-15 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-16 | 2019-11-15 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-16 | 2019-11-15 | N |