A list of the most recent deficiencies for Beaconshire Nursing Centre. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2024-01-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-06 | 2024-01-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-06 | 2024-01-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-04 | 2024-01-22 | 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 | 2023-12-04 | 2024-01-22 | 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 | 2023-12-04 | 2024-01-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-04 | 2024-01-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-18 | 2023-06-16 | Y |
| 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 | 2022-10-11 | 2023-03-16 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-01 | 2023-02-27 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-11 | 2023-02-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-11 | 2023-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-11 | 2023-01-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-11 | 2023-01-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-10-11 | 2022-12-04 | 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 | 2022-10-07 | 2022-11-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-07 | 2022-11-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-07 | 2022-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-11-07 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-07 | 2022-11-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-10-07 | 2022-11-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-07 | 2022-11-07 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-10-07 | 2022-11-07 | 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 | 2022-10-07 | 2022-11-07 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-07 | 2022-11-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-07 | 2022-11-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-11-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-07 | 2022-11-07 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-10-07 | 2022-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-11-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-07 | 2022-11-07 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-07 | 2022-11-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-07 | 2022-11-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-07 | 2022-11-07 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-10-07 | 2022-11-07 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-11 | 2022-11-07 | 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 | 2022-10-11 | 2022-11-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-11 | 2022-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-23 | 2022-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-23 | 2022-07-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-07-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-31 | 2022-04-19 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-09 | 2022-03-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-10 | Y |
| Keep all essential equipment working safely. | Health | 2022-02-09 | 2022-03-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-09 | 2022-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-20 | 2021-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-20 | 2021-06-30 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-05-20 | 2021-06-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-05-20 | 2021-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-20 | 2021-06-30 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-20 | 2021-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-20 | 2021-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-03 | 2021-03-26 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-03-10 | 2020-05-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-10 | 2020-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-10 | 2020-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-10 | 2020-05-02 | 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 | 2020-03-10 | 2020-05-02 | 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 | 2020-03-10 | 2020-05-02 | N |
| Post nurse staffing information every day. | Health | 2020-03-10 | 2020-05-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-10 | 2020-05-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-10 | 2020-05-02 | 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 | 2020-03-10 | 2020-05-02 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-10 | 2020-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-10 | 2020-05-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-10 | 2020-05-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-03-10 | 2020-05-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-10 | 2020-05-02 | 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 | 2020-03-10 | 2020-05-02 | 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 | 2020-03-10 | 2020-05-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-10 | 2020-05-02 | N |
