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Deficiency Records for Beautiful Savior Home
A list of the most recent deficiencies for Beautiful Savior Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Beautiful Savior Home. 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? |
|---|---|---|---|---|
| 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 | 2024-12-13 | 2025-01-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-12-13 | 2025-01-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-13 | 2025-01-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-12-13 | 2025-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-13 | 2025-01-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-13 | 2025-01-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-12-13 | 2025-01-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-12-13 | 2025-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-13 | 2025-01-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-13 | 2025-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-05 | 2023-05-25 | 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 | 2023-05-05 | 2023-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-05 | 2023-05-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-05 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-05 | 2023-05-25 | 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 | 2023-05-05 | 2023-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-05-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-05 | 2023-05-25 | 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 | 2023-05-05 | 2023-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-05 | 2023-05-25 | N |
| Meet other general requirements. | Fire Safety | 2023-01-10 | 2023-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-21 | 2021-07-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-21 | 2021-07-12 | N |
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