Deficiency Records for Beloit Health and Rehabilitation Center
Updated as of March 01, 2023
This is not the most recent data for Beloit Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Beloit 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-14 | 2023-01-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-14 | 2023-01-05 | 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 | 2022-10-20 | 2022-11-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-20 | 2022-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-20 | 2022-11-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-20 | 2022-11-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-20 | 2022-11-17 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-10-20 | 2022-11-17 | Y |
| 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 | 2022-04-07 | 2022-06-07 | 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 | 2022-04-07 | 2022-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-07 | 2022-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-12 | 2022-05-04 | 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 | 2022-04-12 | 2022-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-12 | 2022-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-17 | 2021-03-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-02-17 | 2021-03-10 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-02-17 | 2021-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-17 | 2021-03-10 | 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 | 2021-02-16 | 2021-03-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-16 | 2021-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-16 | 2021-03-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-02-16 | 2021-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-14 | 2021-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-27 | 2020-10-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-24 | 2019-02-18 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-01-24 | 2019-02-18 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-01-24 | 2019-02-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-24 | 2019-02-18 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-24 | 2019-02-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-24 | 2019-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-24 | 2019-02-18 | 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 | 2019-01-24 | 2019-02-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-01-24 | 2019-02-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-24 | 2019-02-18 | 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 | 2019-01-24 | 2019-02-18 | 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 | 2019-01-24 | 2019-02-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-01-24 | 2019-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-02-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-24 | 2019-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-24 | 2019-02-18 | N |
| Have an externally vented heating system. | Fire Safety | 2019-01-24 | 2019-02-18 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-04-07 | Not Fixed | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2021-02-16 | Not Fixed | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-01-24 | Not Fixed | N |
