Deficiency Records for Beaver City Manor
Updated as of August 01, 2016
This is not the most recent data for Beaver City Manor. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2016-02-08 | 2016-03-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-11 | 2016-03-29 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-02-11 | 2016-03-29 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-02-11 | 2016-03-29 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-11 | 2016-03-29 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-02-11 | 2016-03-29 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-02-11 | 2016-03-29 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-02-11 | 2016-03-29 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-11 | 2016-03-29 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-11 | 2016-03-29 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-11 | 2016-03-29 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-11 | 2016-03-29 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-11 | 2016-03-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-11 | 2016-03-29 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-11 | 2016-03-04 | N |
| Proper backup exit lighting. | Fire Safety | 2016-02-08 | 2016-03-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-11 | 2016-03-04 | Y |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-02-08 | 2016-02-10 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-01-29 | 2015-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-01-29 | 2015-03-24 | N |
| Provide housekeeping and maintenance services. | Health | 2015-01-29 | 2015-03-24 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-01-29 | 2015-03-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-01-29 | 2015-03-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-01-29 | 2015-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-29 | 2015-03-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-01-29 | 2015-03-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-29 | 2015-03-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-01-29 | 2015-03-24 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2015-01-29 | 2015-03-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-01-29 | 2015-03-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-12 | 2015-03-13 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-02-12 | 2015-03-13 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-02-12 | 2015-03-13 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-01-29 | 2014-03-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-02-20 | 2014-03-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-20 | 2014-03-07 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-02-04 | 2014-02-27 | N |
| Provide housekeeping and maintenance services. | Health | 2014-02-04 | 2014-02-27 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-02-04 | 2014-02-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-02-04 | 2014-02-27 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-02-04 | 2014-02-27 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-01-29 | 2014-02-27 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-01-29 | 2014-02-27 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-01-29 | 2014-02-27 | N |
