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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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