A list of the most recent deficiencies for Birchwood of Beaumont. 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? |
---|---|---|---|---|
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-10 | 2024-01-26 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-01 | 2023-03-03 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-01 | 2023-03-03 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-03-01 | 2023-03-03 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-01 | 2023-03-02 | 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 | 2023-03-01 | 2023-03-02 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-12-09 | 2022-12-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-08-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-03 | 2022-06-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-03 | 2022-06-21 | 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 | 2022-06-03 | 2022-06-21 | Y |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-09 | 2022-03-25 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2021-12-14 | 2022-01-06 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-01 | 2021-12-31 | Y |
Ensure each resident receives an accurate assessment. | Health | 2021-12-01 | 2021-12-31 | Y |
Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-14 | 2021-12-22 | 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 | 2021-12-14 | 2021-12-16 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-15 | 2021-09-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-15 | 2021-09-16 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-16 | 2020-10-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-09-16 | 2020-10-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-16 | 2020-10-17 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-09-16 | 2020-10-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-16 | 2020-10-17 | 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 | 2020-09-16 | 2020-10-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-16 | 2020-10-17 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-16 | 2020-10-17 | N |
Keep all essential equipment working safely. | Health | 2020-09-16 | 2020-10-17 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-09-14 | 2020-10-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-14 | 2020-10-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-14 | 2020-10-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-14 | 2020-10-17 | N |