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Deficiency Records for Beaconshire Nursing Centre
View the most recent health deficiencies and inspection results for Beaconshire Nursing Centre. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Beaconshire Nursing Centre. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-21 | 2026-01-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-11-21 | 2026-01-02 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-21 | 2026-01-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-16 | 2025-09-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-05 | 2025-07-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-06-05 | 2025-07-07 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-29 | 2025-04-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-29 | 2025-04-17 | 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 | 2025-01-29 | 2025-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-29 | 2025-04-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-01-29 | 2025-03-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-01-29 | 2025-03-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-29 | 2025-03-20 | N |
| Dispose of garbage and refuse properly. | Health | 2025-01-29 | 2025-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-29 | 2025-03-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-29 | 2025-03-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-01-29 | 2025-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-29 | 2025-03-07 | 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 | 2025-01-29 | 2025-03-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-29 | 2025-03-07 | 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 | 2025-01-29 | 2025-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-29 | 2025-03-06 | N |
| Keep all essential equipment working safely. | Health | 2025-01-29 | 2025-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-29 | 2025-03-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-29 | 2025-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-29 | 2025-03-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-29 | 2025-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-29 | 2025-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-22 | 2025-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-22 | 2025-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-22 | 2025-01-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-08 | 2024-08-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-08 | 2024-08-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-08 | 2024-08-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-24 | 2024-08-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-24 | 2024-08-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-24 | 2024-08-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-24 | 2024-08-19 | 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 | 2024-06-21 | 2024-07-16 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-06 | 2024-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-06 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-06 | 2024-03-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-12-06 | 2024-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-13 | 2024-02-28 | 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 | 2024-02-13 | 2024-02-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-16 | 2024-02-05 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-16 | 2024-02-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-06 | 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 | 2023-12-06 | 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 | 2023-12-06 | 2024-01-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| 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 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-06 | 2024-01-22 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-06 | 2024-01-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-12-06 | 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 | 2022-10-07 | 2023-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-07 | 2023-02-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-07 | 2023-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-07 | 2023-01-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-07 | 2023-01-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-10-07 | 2022-12-04 | 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 |
| 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 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-07 | 2022-11-07 | N |
| 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 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-07 | 2022-11-07 | N |
| Provide activities to meet all resident's needs. | 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 |
| 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 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-07 | 2022-11-07 | 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 | 2022-10-07 | 2022-11-07 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-07 | 2022-11-07 | N |
| Ensure staff are vaccinated for COVID-19 | 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 |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-07 | 2022-11-07 | N |
| 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 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-10-07 | 2022-11-07 | N |
| 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 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-07 | 2022-11-07 | 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 |
| 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 | 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 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-07 | 2022-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-07 | 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 | 2022-10-07 | 2022-11-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-07 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-07 | 2022-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-07 | 2022-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-07 | 2022-11-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-10-07 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 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 | 2025-01-29 | Not Fixed | N |