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Deficiency Records for Beaumont Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Beaumont Rehabilitation and Healthcare Center. 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 Beaumont Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-15 | 2024-08-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-02 | 2024-07-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-02 | 2024-07-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-02 | 2024-07-29 | 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 | 2024-07-02 | 2024-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-02 | 2024-07-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-02 | 2024-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-02 | 2024-07-29 | N |
| 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 | 2024-07-02 | 2024-07-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-07-02 | 2024-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-07-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-02 | 2024-07-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-04-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-05 | 2024-04-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-28 | 2024-01-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-13 | 2023-12-01 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-27 | 2023-05-25 | N |
| 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 | 2023-04-27 | 2023-05-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-27 | 2023-05-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-04-27 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-05-25 | 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 | 2023-04-27 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-25 | N |
| 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 | 2023-03-07 | 2023-03-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-07 | 2023-03-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-18 | 2023-01-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-18 | 2023-01-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-08 | 2022-12-20 | 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 | 2022-08-17 | 2022-09-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-23 | 2022-06-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Develop a communication plan. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-28 | 2022-04-11 | 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 | 2022-03-28 | 2022-04-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-28 | 2022-04-11 | 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 | 2022-03-28 | 2022-04-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-28 | 2022-04-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-03-28 | 2022-04-11 | 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 | 2022-03-22 | 2022-04-10 | N |
| 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 | 2022-03-22 | 2022-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-22 | 2022-04-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-22 | 2022-04-10 | 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 | 2022-03-22 | 2022-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2021-12-27 | N |
| Report COVID19 data to residents and families. | Health | 2021-12-08 | 2021-12-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-08 | 2021-12-27 | N |
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