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Deficiency Records for Beaver Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Beaver Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Beaver Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-12-03 | 2026-01-06 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-05-30 | 2025-07-16 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2025-05-30 | 2025-07-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-30 | 2025-07-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-05-30 | 2025-07-16 | 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 | 2025-05-30 | 2025-07-16 | 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 | 2025-05-30 | 2025-07-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-05-30 | 2025-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-30 | 2025-07-16 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-05-30 | 2025-07-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-30 | 2025-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-30 | 2025-07-16 | N |
| Keep all essential equipment working safely. | Health | 2025-05-30 | 2025-07-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-30 | 2025-07-16 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-05-30 | 2025-07-16 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-05-30 | 2025-07-16 | N |
| Provide training in compliance and ethics. | Health | 2025-05-30 | 2025-07-16 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-05-30 | 2025-07-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-30 | 2025-07-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-30 | 2025-07-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-30 | 2025-06-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-03-26 | 2025-04-07 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-04 | 2024-09-30 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-04 | 2024-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-04 | 2024-09-30 | 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 | 2024-08-08 | 2024-08-23 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-06-06 | 2024-07-01 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-06-06 | 2024-07-01 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-05 | 2024-04-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-05 | 2024-04-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-05 | 2024-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-05 | 2024-04-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-05 | 2024-04-19 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-05 | 2024-04-19 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-03-05 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-04-19 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-05 | 2024-04-19 | 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 (including nights and weekends) and emergencies. | Health | 2024-03-05 | 2024-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-05 | 2024-04-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-03-05 | 2024-04-19 | 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 | 2024-03-05 | 2024-04-19 | 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 | 2024-03-05 | 2024-04-19 | 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 | 2024-03-05 | 2024-04-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-05 | 2024-04-19 | 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 | 2024-03-05 | 2024-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-05 | 2024-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-05 | 2024-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-05 | 2024-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-05 | 2024-04-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-05 | 2024-04-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-03-05 | 2024-04-19 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-03-05 | 2024-04-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-05 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-20 | Y |
| 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 | 2023-10-18 | 2023-11-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-17 | 2023-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-17 | 2023-08-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-17 | 2023-08-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-17 | 2023-08-08 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-09 | 2023-07-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-06-09 | 2023-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-09 | 2023-07-24 | 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 | 2023-06-09 | 2023-07-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-09 | 2023-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-07-24 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-09 | 2023-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-09 | 2023-07-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-09 | 2023-07-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-09 | 2023-07-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-07-24 | N |