A list of the most recent deficiencies for Eddy Village Green at Beverwyck. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2024-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-14 | 2024-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2024-01-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-12-01 | 2024-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-01 | 2024-01-25 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-01 | 2024-01-24 | 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 | 2023-12-01 | 2024-01-22 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-28 | 2021-11-16 | Y |
| 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 | 2021-07-13 | 2021-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-13 | 2021-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-13 | 2021-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-24 | 2019-09-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-24 | 2019-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-24 | 2019-09-02 | N |
