Deficiency Records for Beaver City Manor
Updated as of March 01, 2019
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? |
---|---|---|---|---|
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-01 | 2018-03-18 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-01-30 | 2018-03-18 | 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 | 2018-01-30 | 2018-03-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-01-30 | 2018-03-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-30 | 2018-03-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-30 | 2018-03-18 | 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 | 2018-02-01 | 2018-03-18 | N |
Assess the resident when there is a significant change in condition | Health | 2018-02-01 | 2018-03-18 | 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 | 2018-02-01 | 2018-03-18 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-02-01 | 2018-03-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-01 | 2018-03-18 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-02-01 | 2018-03-18 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-02-01 | 2018-03-18 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-01 | 2018-03-18 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-10 | 2017-07-28 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-10 | 2017-07-28 | Y |
Meet other general requirements. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Have exits that are accessible at all times. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Install proper backup exit lighting. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-02-08 | 2017-03-25 | 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 | 2017-02-08 | 2017-03-25 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Construct fire resistant interior walls. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-08 | 2017-03-25 | N |
Provide housekeeping and maintenance services. | Health | 2017-02-08 | 2017-03-25 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-08 | 2017-03-25 | Y |
Ensure residents maintain acceptable nutritional status. | Health | 2017-02-08 | 2017-03-25 | Y |
Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-02-08 | 2017-03-25 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-08 | 2017-03-25 | Y |
Store, cook, and serve food in a safe and clean way. | Health | 2017-02-08 | 2017-03-25 | Y |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-08 | 2017-03-25 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-08 | 2017-03-25 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-08 | 2017-03-25 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-27 | 2016-09-10 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-27 | 2016-09-10 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-27 | 2016-09-10 | Y |
Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-07-27 | 2016-09-10 | Y |
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 |
Provide activities to meet the interests and needs of each resident. | Health | 2016-02-11 | 2016-03-29 | N |
Provide housekeeping and maintenance services. | 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 |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-11 | 2016-03-29 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-11 | 2016-03-29 | N |
Ensure residents maintain acceptable nutritional status. | 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 |
Store, cook, and serve food in a safe and clean way. | 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 |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 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 |
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 | 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 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-11 | 2016-03-04 | N |
Properly located and lighted "Exit" signs. | Fire Safety | 2016-02-08 | 2016-02-10 | N |