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Deficiency Records for Beecher Manor Nrsg and Rehab Ctr
A list of the most recent deficiencies for Beecher Manor Nrsg and Rehab Ctr. 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 Beecher Manor Nrsg and Rehab Ctr. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Develop a communication plan. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-09-10 | 2024-09-20 | 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 | 2024-09-10 | 2024-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-10 | 2024-09-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-30 | 2024-09-12 | 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 | 2024-08-30 | 2024-09-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-30 | 2024-09-12 | 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 | 2024-08-30 | 2024-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-30 | 2024-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-30 | 2024-09-12 | 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 | 2024-08-30 | 2024-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-09-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-08-30 | 2024-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-30 | 2024-09-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-30 | 2024-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-11 | 2023-10-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-11 | 2023-10-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-10-12 | 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 | 2023-08-03 | 2023-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-08-07 | 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 | 2023-07-20 | 2023-08-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-20 | 2023-08-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-20 | 2023-08-07 | 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 | 2023-07-20 | 2023-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-20 | 2023-08-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-20 | 2023-08-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-18 | 2023-05-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-03-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-21 | 2023-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-23 | 2022-08-31 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-23 | 2022-08-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-23 | 2022-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-05-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-06 | 2022-05-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-05-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-04-21 | 2022-05-05 | 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 | 2022-04-21 | 2022-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-21 | 2022-05-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-21 | 2022-05-05 | 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 | 2022-04-20 | 2022-05-05 | 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 | 2022-04-20 | 2022-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-20 | 2022-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-20 | 2022-05-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-20 | 2022-05-05 | N |
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