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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-29 | 2024-03-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-29 | 2024-03-27 | 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 | 2024-02-29 | 2024-03-27 | N |
| Post nurse staffing information every day. | Health | 2024-02-26 | 2024-03-19 | 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 | 2024-02-26 | 2024-03-19 | N |
| 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 |
