A list of the most recent deficiencies for Beacon Ridge. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-08 | 2023-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-12-15 | 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 | 2023-09-08 | 2023-12-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-09-08 | 2023-12-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-08 | 2023-12-15 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-08 | 2023-12-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-08 | 2023-12-15 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-08 | 2023-12-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-08 | 2023-12-15 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-08 | 2023-12-15 | Y |
| 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 | 2023-02-09 | 2023-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-09 | 2023-03-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-01 | 2022-03-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-01 | 2022-03-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-02-08 | 2022-03-03 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-08 | 2022-03-03 | 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 | 2019-06-25 | 2019-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-25 | 2019-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-18 | 2019-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-25 | 2019-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-25 | 2019-07-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-25 | 2019-07-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-04 | 2018-04-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-04-04 | 2018-04-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-04 | 2018-04-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-04 | 2018-04-10 | 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 | 2018-04-04 | 2018-04-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-04 | 2018-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-04 | 2018-04-09 | N |
| Have an externally vented heating system. | Fire Safety | 2018-04-04 | 2018-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-04 | 2018-04-09 | N |
