A list of the most recent deficiencies for Beaver City Manor. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-02 | 2022-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-02 | 2022-06-16 | 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 | 2022-05-02 | 2022-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-02 | 2022-06-16 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-05-02 | 2022-06-16 | 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 | 2022-05-02 | 2022-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-02 | 2022-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-01 | 2022-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-22 | 2020-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-09-22 | 2020-11-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-09-22 | 2020-11-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-22 | 2020-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-22 | 2020-11-06 | 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 | 2020-09-22 | 2020-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-22 | 2020-11-06 | 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 | 2020-09-22 | 2020-11-06 | 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 | 2020-09-22 | 2020-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-22 | 2020-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-22 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-11-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-09-22 | 2020-11-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-22 | 2020-11-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-22 | 2020-11-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-22 | 2020-11-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-22 | 2020-11-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-22 | 2020-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-22 | 2020-11-06 | N |
