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Deficiency Records for Beth Haven Nursing Home
View the most recent health deficiencies and inspection results for Beth Haven Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Beth Haven Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-30 | 2025-08-12 | 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 | 2025-06-30 | 2025-08-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-05 | 2025-06-01 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-02-06 | 2025-05-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-02-06 | 2025-05-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-10 | 2025-05-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-06 | 2025-05-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-02-06 | 2025-05-25 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-04-10 | 2025-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-05-25 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-02-06 | 2025-05-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-02-06 | 2025-03-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-02-06 | 2025-03-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-02-06 | 2025-03-23 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2025-02-06 | 2025-03-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-02-06 | 2025-03-23 | 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 | 2025-02-06 | 2025-03-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-06 | 2025-03-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-06 | 2025-03-23 | 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 | 2025-02-06 | 2025-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-06 | 2025-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-06 | 2025-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-03-23 | N |
| Post nurse staffing information every day. | Health | 2025-02-06 | 2025-03-23 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-02-06 | 2025-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-06 | 2025-03-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-06 | 2025-03-23 | 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 | 2025-02-06 | 2025-03-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-02-06 | 2025-03-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-06 | 2025-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-06 | 2025-03-23 | N |
| Dispose of garbage and refuse properly. | Health | 2025-02-06 | 2025-03-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-02-06 | 2025-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-02-06 | 2025-03-23 | 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 | 2025-02-06 | 2025-03-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-02-06 | 2025-03-23 | 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 | 2025-02-06 | 2025-03-23 | N |
| Meet other general requirements. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Establish methods for sharing information. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-06 | 2025-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-10 | 2024-10-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-18 | 2024-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-18 | 2024-07-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-18 | 2024-07-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-14 | 2024-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-14 | 2024-07-31 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-06-14 | 2024-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-23 | 2024-06-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-23 | 2024-06-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-02 | 2023-09-01 | 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 | 2023-05-02 | 2023-09-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-02 | 2023-09-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-02 | 2023-09-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-02 | 2023-09-01 | 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 | 2023-05-02 | 2023-09-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-02 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-02 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-02 | 2023-09-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-02 | 2023-09-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-05-02 | 2023-09-01 | 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 | 2023-05-02 | 2023-09-01 | 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 | 2023-05-02 | 2023-09-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-05-02 | 2023-06-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-02 | 2023-06-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-02 | 2023-06-26 | N |
| Post nurse staffing information every day. | Health | 2023-05-02 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-02 | 2023-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-02 | 2023-06-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-02 | 2023-06-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-02 | 2023-06-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-02 | 2023-06-26 | N |
| 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 | 2023-05-02 | 2023-06-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-06-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-02 | 2023-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-02 | 2023-06-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-02 | 2023-06-26 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-02 | 2023-06-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-02 | 2023-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-02 | 2023-06-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-12 | 2019-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-11-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-09-12 | 2019-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-12 | 2019-10-23 | 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 | 2019-09-12 | 2019-10-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-12 | 2019-10-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-12 | 2019-10-23 | N |
| 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 | 2019-09-12 | 2019-10-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-09-12 | 2019-10-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-12 | 2019-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-12 | 2019-10-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-12 | 2019-10-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-12 | 2019-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-12 | 2019-10-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-12 | 2019-10-23 | 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 | 2019-09-12 | 2019-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-12 | 2019-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-12 | 2019-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-12 | 2019-10-23 | N |
| Meet other general requirements. | Fire Safety | 2019-09-12 | 2019-10-23 | N |