Deficiency Records for Beaver City Manor
Updated as of July 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 |