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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-05-25 | N |
| Implement a program that monitors antibiotic use. | Health | 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 |
| Include a process for Emergency Preparedness collaboration. | 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 |
| Meet other general requirements that are deficient. | 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 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 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 |
| 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 |
| 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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-05 | 2023-05-25 | N |
| Meet other general requirements. | Fire Safety | 2023-01-10 | 2023-01-12 | 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 | 2022-06-17 | 2022-08-05 | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-06-07 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-05-02 | 2019-06-07 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-02 | 2019-06-07 | N |
| Dispose of garbage and refuse properly. | Health | 2019-05-02 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-06-07 | N |
