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 |
