A list of the most recent deficiencies for Harmony Care at 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? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2023-09-27 | 2023-11-06 | 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 | 2023-09-27 | 2023-11-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-12 | 2023-10-30 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-10-12 | 2023-10-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-23 | 2023-10-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-23 | 2023-10-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-27 | 2023-10-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-27 | 2023-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-27 | 2023-10-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-09-27 | 2023-10-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-27 | 2023-10-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-09-27 | 2023-10-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-27 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-27 | 2023-10-20 | N |
| Have policies on smoking. | Health | 2023-09-27 | 2023-10-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-27 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-10-20 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2023-09-27 | 2023-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-27 | 2023-10-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-07-31 | 2023-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-14 | 2023-07-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-14 | 2023-07-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-14 | 2023-07-18 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-06-14 | 2023-07-18 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-06-14 | 2023-07-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-26 | 2023-01-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-01-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-26 | 2023-01-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-09 | 2022-09-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-20 | 2022-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-20 | 2022-09-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-07-20 | 2022-08-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-22 | 2022-07-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-22 | 2022-07-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-23 | 2022-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-27 | 2022-01-31 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-01-27 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-27 | 2022-01-31 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-01-27 | 2022-01-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-27 | 2022-01-31 | 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 | 2022-01-27 | 2022-01-31 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-08-03 | 2021-09-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-03 | 2021-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-03 | 2021-09-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-03 | 2021-09-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-03 | 2021-08-24 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-18 | 2021-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-19 | 2021-06-01 | 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 | 2021-05-19 | 2021-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-19 | 2021-06-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-19 | 2021-06-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-19 | 2021-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-18 | 2021-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-18 | 2021-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-18 | 2021-05-24 | 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 | 2021-05-18 | 2021-05-24 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-19 | 2021-05-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-27 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-20 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-20 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-18 | Not Fixed | N |
