Deficiency Records for Beaver City Manor
Updated as of May 01, 2021
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-20 | 2019-07-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-20 | 2019-07-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-20 | 2019-07-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-20 | 2019-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-20 | 2019-07-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-20 | 2019-07-03 | 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 | 2019-05-20 | 2019-07-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-20 | 2019-07-03 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-05-20 | 2019-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-20 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-20 | 2019-07-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-20 | 2019-07-03 | N |
| 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 |
