Deficiency Records for Beauvais Rehab and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Beauvais Rehab and Healthcare Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2023-12-21 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-11-09 | 2023-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-09 | 2023-12-21 | N |
| Post nurse staffing information every day. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-21 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-09 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-09 | 2023-12-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-09 | 2023-12-21 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-09 | 2023-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2023-12-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-09 | 2023-12-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-12-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-09 | 2023-12-21 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-11-09 | 2023-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-09 | 2023-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-09 | 2023-12-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-18 | 2023-09-20 | Y |
| Provide appropriate foot care. | Health | 2023-07-18 | 2023-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-18 | 2023-09-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-11 | 2023-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-28 | 2023-06-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-28 | 2023-06-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-28 | 2023-06-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-06-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-28 | 2023-06-01 | Y |
| 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 | 2023-04-28 | 2023-06-01 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-28 | 2023-04-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-28 | 2023-04-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-18 | 2022-06-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-16 | 2021-09-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-16 | 2021-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-16 | 2021-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-21 | 2021-07-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-16 | 2020-04-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-16 | 2020-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-16 | 2020-04-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-16 | 2020-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-16 | 2020-04-28 | 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 | 2020-03-16 | 2020-04-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-03-16 | 2020-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-16 | 2020-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-16 | 2020-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-16 | 2020-04-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-16 | 2020-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-16 | 2020-04-28 | 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 | 2020-03-16 | 2020-04-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-16 | 2020-04-28 | 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 | 2020-03-16 | 2020-04-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-16 | 2020-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-16 | 2020-04-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-16 | 2020-04-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-16 | 2020-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-16 | 2020-04-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-03-16 | 2020-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-16 | 2020-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-16 | 2020-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-16 | 2020-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-16 | 2020-04-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-16 | 2020-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-16 | 2020-04-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-15 | 2019-02-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-01-15 | 2019-02-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-15 | 2019-02-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-15 | 2019-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-15 | 2019-02-19 | 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 | 2019-01-15 | 2019-02-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-15 | 2019-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-15 | 2019-02-19 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-15 | 2019-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-15 | 2019-02-19 | 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 | 2019-01-15 | 2019-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-15 | 2019-02-19 | 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 | 2019-01-15 | 2019-02-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-15 | 2019-02-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-15 | 2019-02-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-15 | 2019-02-19 | 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 | 2019-01-15 | 2019-02-19 | 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 | 2019-01-15 | 2019-02-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-01-15 | 2019-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-15 | 2019-02-19 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-01-15 | 2019-02-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-01-15 | 2019-02-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-15 | 2019-02-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-15 | 2019-02-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-15 | 2019-02-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-15 | 2019-02-19 | N |
