CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Beloved Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Beloved Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Beloved Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-04 | 2025-03-28 | Y |
| 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 | 2025-02-05 | 2025-03-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-27 | 2025-03-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-11-27 | 2025-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-27 | 2025-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-27 | 2025-03-17 | Y |
| 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 | 2024-11-27 | 2025-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-05 | 2025-03-17 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | N |
| Provide appropriate foot care. | Health | 2024-11-27 | 2025-01-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-11-27 | 2025-01-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-27 | 2025-01-13 | N |
| Provide or obtain dental services for each resident. | Health | 2024-11-27 | 2025-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-27 | 2025-01-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-27 | 2025-01-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-27 | 2025-01-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-11-27 | 2025-01-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-27 | 2025-01-13 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-11-27 | 2025-01-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-11-27 | 2025-01-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-11-27 | 2025-01-13 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-11-27 | 2025-01-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-11-27 | 2025-01-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-27 | 2025-01-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-27 | 2025-01-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-11-27 | 2025-01-13 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-11-27 | 2025-01-13 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-11-27 | 2025-01-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-27 | 2025-01-13 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | N |
| Provide training in compliance and ethics. | Health | 2024-11-27 | 2025-01-13 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-11-27 | 2025-01-13 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-11-27 | 2025-01-13 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-11-27 | 2025-01-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-27 | 2025-01-13 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-11-27 | 2025-01-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-27 | 2025-01-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-27 | 2025-01-13 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-11-27 | 2025-01-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-11-27 | 2025-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-27 | 2025-01-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-11-27 | 2025-01-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Meet other general requirements. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-11-27 | 2025-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-27 | 2025-01-13 | 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 | 2024-11-27 | 2025-01-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-27 | 2025-01-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-28 | 2024-09-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-28 | 2024-09-25 | Y |
| 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 | 2024-03-28 | 2024-09-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-28 | 2024-09-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-03-28 | 2024-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-28 | 2024-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-28 | 2024-09-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-28 | 2024-09-25 | 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 | 2024-03-28 | 2024-09-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-28 | 2024-09-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-18 | 2024-09-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-29 | 2024-09-25 | 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 | 2024-09-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-18 | 2024-09-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-02 | 2024-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-02 | 2024-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-02 | 2024-09-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-02 | 2024-09-25 | 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 | 2024-08-02 | 2024-09-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-02 | 2024-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-10 | 2024-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-18 | 2024-07-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-18 | 2024-07-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-29 | 2024-06-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-28 | 2024-06-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-18 | 2024-05-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-28 | 2024-05-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-28 | 2024-05-14 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-07 | 2024-03-19 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-02-07 | 2024-03-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-07 | 2024-03-19 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-12-06 | 2024-01-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-06 | 2024-01-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-06 | 2024-01-22 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-03 | 2023-12-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-09 | 2023-09-14 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2023-01-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Post nurse staffing information every day. | Health | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-07 | 2023-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-07 | 2023-01-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-07 | 2023-01-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-07 | 2023-01-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-07 | 2023-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-07 | 2023-01-21 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-07 | 2023-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-07 | 2023-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-01-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-07 | 2023-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-07 | 2023-01-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-07 | 2023-01-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-12-07 | 2023-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-07 | 2023-01-21 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-12-07 | 2023-01-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2023-01-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-07 | 2023-01-21 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-12-07 | 2023-01-21 | 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 | 2022-12-07 | 2023-01-21 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-07 | 2023-01-21 | 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 | 2019-05-02 | 2019-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-06-12 | 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 | 2019-05-02 | 2019-06-12 | 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 | 2019-05-02 | 2019-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-02 | 2019-06-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-02 | 2019-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-02 | 2019-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-02 | 2019-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-02 | 2019-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-05-02 | 2019-06-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-02 | 2019-06-12 | 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 | 2019-05-02 | 2019-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-02 | 2019-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-27 | Not Fixed | N |