Deficiency Records for Beacon Harbor Healthcare and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Beacon Harbor Healthcare and Rehabilitation. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-20 | 2023-09-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-20 | 2023-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-09-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-20 | 2023-09-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-20 | 2023-09-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-11 | 2023-06-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-11 | 2023-06-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-11 | 2023-06-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-04 | 2023-01-26 | 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 | 2022-05-10 | 2022-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-12 | 2022-06-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-05-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-10 | 2022-05-11 | 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 | 2022-05-10 | 2022-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-04 | 2021-03-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-04 | 2021-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-04 | 2021-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-03-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-04 | 2021-03-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-04 | 2021-02-08 | 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 | 2021-02-04 | 2021-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-04 | 2021-02-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-04 | 2021-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-04 | 2021-02-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-03-22 | 2019-04-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-22 | 2019-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-22 | 2019-04-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-03-22 | 2019-04-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-03-21 | 2019-04-20 | N |
