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Deficiency Records for Villa at Beecher Place
View the most recent health deficiencies and inspection results for Villa at Beecher Place. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa at Beecher Place. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-16 | 2026-04-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-16 | 2026-04-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-16 | 2026-04-10 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-03-16 | 2026-04-10 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-02-12 | 2026-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-12 | 2026-03-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-12 | 2026-03-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-30 | 2026-01-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-30 | 2026-01-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-11 | 2026-01-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-09-16 | 2025-10-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-21 | 2025-08-22 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-21 | 2025-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-21 | 2025-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-21 | 2025-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-05 | 2025-07-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-21 | 2025-07-02 | N |
| Provide activities to meet all resident's needs. | Health | 2025-05-21 | 2025-06-17 | 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 | 2025-05-21 | 2025-06-17 | N |
| Respond appropriately to all alleged violations. | Health | 2025-05-21 | 2025-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-21 | 2025-06-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-21 | 2025-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-21 | 2025-06-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-21 | 2025-06-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-21 | 2025-06-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-21 | 2025-06-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-05-21 | 2025-06-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-21 | 2025-06-17 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-05-21 | 2025-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-21 | 2025-06-17 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-05-21 | 2025-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-21 | 2025-06-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-21 | 2025-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-21 | 2025-06-17 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2025-05-21 | 2025-06-17 | 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 | 2025-05-21 | 2025-06-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-21 | 2025-06-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-21 | 2025-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-21 | 2025-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-19 | 2025-04-21 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-12-16 | 2024-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-16 | 2024-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-14 | 2024-09-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-29 | 2024-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-29 | 2024-08-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-29 | 2024-08-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-29 | 2024-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-29 | 2024-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-08-16 | N |
| Post nurse staffing information every day. | Health | 2024-05-29 | 2024-07-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-29 | 2024-07-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-29 | 2024-07-08 | Y |
| 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 | 2024-05-29 | 2024-07-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-29 | 2024-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-29 | 2024-07-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-29 | 2024-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-29 | 2024-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-29 | 2024-07-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-05-29 | 2024-07-08 | 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 | 2024-05-29 | 2024-07-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-29 | 2024-07-08 | 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 | 2024-05-29 | 2024-07-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-29 | 2024-07-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-29 | 2024-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-29 | 2024-07-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-29 | 2024-07-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-29 | 2024-07-08 | 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 | 2024-05-29 | 2024-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-29 | 2024-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-29 | 2024-07-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-29 | 2024-07-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-29 | 2024-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-29 | 2024-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-29 | 2024-07-02 | 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 | 2024-05-29 | 2024-07-02 | 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 | 2024-05-29 | 2024-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-29 | 2024-07-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-29 | 2024-07-02 | 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 | 2024-04-18 | 2024-05-15 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-04-18 | 2024-05-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-18 | 2024-05-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-18 | 2024-05-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-18 | 2024-05-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-18 | 2024-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-28 | 2024-02-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-03 | 2023-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-03 | 2023-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-25 | 2023-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-25 | 2023-06-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-25 | 2023-06-27 | 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 | 2023-04-25 | 2023-06-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-25 | 2023-06-27 | N |
| 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 | 2023-04-25 | 2023-06-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-25 | 2023-06-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-25 | 2023-06-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-04-25 | 2023-06-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-25 | 2023-06-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-25 | 2023-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-25 | 2023-06-27 | 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 | 2023-04-25 | 2023-06-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-25 | 2023-06-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-06-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-06-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-25 | 2023-06-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-25 | 2023-06-27 | 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 | 2023-04-25 | 2023-06-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-25 | 2023-04-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-25 | 2023-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-25 | 2023-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-25 | 2023-04-24 | N |