Deficiency Records for Beaufont Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Beaufont Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-01 | 2022-07-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-05-24 | 2022-06-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-24 | 2022-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-24 | 2022-06-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-24 | 2022-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-24 | 2022-06-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-24 | 2022-06-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-24 | 2022-06-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-24 | 2022-06-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-24 | 2022-06-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-03-23 | 2022-04-26 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-23 | 2022-04-26 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-03-05 | 2019-04-12 | 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 | 2019-03-05 | 2019-04-12 | 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 | 2019-03-05 | 2019-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-14 | 2019-03-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-02-14 | 2019-03-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-02-14 | 2019-03-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-14 | 2019-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-14 | 2019-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-14 | 2019-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-14 | 2019-03-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-14 | 2019-03-25 | N |
| 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 | 2019-02-14 | 2019-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-14 | 2019-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-14 | 2019-03-25 | 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 | 2019-02-14 | 2019-03-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-14 | 2019-03-25 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-02-14 | 2019-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-02-14 | 2019-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-25 | 2018-02-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-25 | 2017-12-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-10-25 | 2017-12-12 | N |
| Tell 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 | 2017-10-05 | 2017-10-23 | N |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2017-10-05 | 2017-10-23 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-05 | 2017-10-23 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-05 | 2017-10-23 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-05 | 2017-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-05 | 2017-10-23 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-05 | 2017-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-05 | 2017-10-23 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-05 | 2017-10-23 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-05 | 2017-10-23 | N |
