Deficiency Records for Benson Heights Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Benson Heights 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? |
|---|---|---|---|---|
| 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 | 2023-11-20 | 2023-12-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-20 | 2023-12-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-20 | 2023-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-20 | 2023-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-20 | 2023-12-27 | 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 | 2023-11-20 | 2023-12-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-20 | 2023-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-20 | 2023-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-20 | 2023-12-27 | 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 | 2023-11-20 | 2023-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-20 | 2023-12-27 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-11-20 | 2023-12-27 | 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 | 2023-11-20 | 2023-12-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-20 | 2023-12-27 | 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 | 2023-11-20 | 2023-12-27 | 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 | 2023-11-20 | 2023-12-27 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-11-20 | 2023-12-27 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-20 | 2023-12-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-20 | 2023-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2023-12-27 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-11-27 | 2023-12-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-30 | 2023-11-10 | Y |
| 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 | 2022-07-20 | 2022-08-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-20 | 2022-08-30 | N |
| 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 | 2022-07-20 | 2022-08-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-20 | 2022-08-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-20 | 2022-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-20 | 2022-08-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-20 | 2022-08-30 | 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 | 2022-07-20 | 2022-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-20 | 2022-08-30 | 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 | 2022-07-20 | 2022-08-30 | 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 | 2022-07-20 | 2022-08-30 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-20 | 2022-08-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-20 | 2022-08-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-20 | 2022-08-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-07-20 | 2022-08-30 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2022-07-20 | 2022-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-11 | 2022-08-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-11 | 2022-08-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-11 | 2022-07-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-07-11 | 2022-07-27 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-30 | 2021-08-23 | 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 | 2021-07-30 | 2021-08-23 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-03-04 | 2020-05-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-04 | 2020-05-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-04 | 2020-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-04 | 2020-05-01 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-04 | 2020-05-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-04 | 2020-05-01 | N |
| Notify 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 | 2020-03-04 | 2020-05-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-04 | 2020-05-01 | 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 | 2020-03-04 | 2020-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-04 | 2020-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-04 | 2020-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-05-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-03-04 | 2020-05-01 | 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 | 2020-03-04 | 2020-05-01 | 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 | 2020-03-04 | 2020-05-01 | 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 | 2020-03-04 | 2020-05-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-04 | 2020-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-05-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-04 | 2020-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-25 | 2020-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-25 | 2020-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-25 | 2020-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-25 | 2020-03-20 | N |
