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Deficiency Records for Beacon Hill

A list of the most recent deficiencies for Beacon Hill. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Beacon Hill. 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-18 2024-08-01 N
Install an approved automatic sprinkler system. Fire Safety 2024-06-18 2024-07-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-18 2024-07-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-18 2024-07-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-12 2024-07-04 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 2024-06-12 2024-07-04 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-06-12 2024-07-04 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 2024-06-12 2024-07-04 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-12 2024-07-04 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-06-12 2024-07-04 N
Provide and implement an infection prevention and control program. Health 2024-06-12 2024-07-04 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-06-12 2024-07-04 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-06-12 2024-07-04 N
Address subsistence needs for staff and patients. Fire Safety 2024-06-18 2024-07-04 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2024-06-18 2024-07-04 N
Establish policies and procedures for sheltering. Fire Safety 2024-06-18 2024-07-04 N
Establish policies and procedures for medical documentation. Fire Safety 2024-06-18 2024-07-04 N
Establish policies and procedures for volunteers. Fire Safety 2024-06-18 2024-07-04 N
Create arrangements with other facilities to receive patients. Fire Safety 2024-06-18 2024-07-04 N
List the names and contact information of those in the facility. Fire Safety 2024-06-18 2024-07-04 N
Install a two-hour-resistant firewall separation. Fire Safety 2024-06-18 2024-07-03 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 2024-06-18 2024-07-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-18 2024-07-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-18 2024-07-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-06-18 2024-07-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-06-18 2024-07-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-15 2024-03-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-28 2024-01-16 Y
Keep residents' personal and medical records private and confidential. Health 2023-08-10 2023-09-22 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-18 2023-09-22 N
Address patient/client population and determine types of services needed. Fire Safety 2023-08-18 2023-09-22 N
Establish emergency prep training and testing. Fire Safety 2023-08-18 2023-09-22 N
Establish staff and initial training requirements. Fire Safety 2023-08-18 2023-09-22 N
Conduct testing and exercise requirements. Fire Safety 2023-08-18 2023-09-22 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-08-18 2023-09-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-10 2023-09-15 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 2023-08-10 2023-09-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-18 2023-09-01 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 2023-08-18 2023-09-01 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-08-18 2023-09-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-18 2023-09-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-08-09 2022-09-22 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-07-15 2022-08-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-15 2022-08-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-15 2022-08-28 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 2022-08-09 2022-08-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-08-09 2022-08-12 N

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