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Deficiency Records for Beaconshire Nursing Centre

A list of the most recent deficiencies for Beaconshire Nursing Centre. 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 Beaconshire Nursing Centre. 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?
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-08-08 2024-08-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-08 2024-08-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-08 2024-08-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-24 2024-08-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-24 2024-08-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-24 2024-08-19 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-24 2024-08-19 Y
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 2024-06-21 2024-07-16 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-12-04 2024-03-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-12-04 2024-03-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-04 2024-03-05 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-12-04 2024-03-01 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-02-13 2024-02-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-13 2024-02-28 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-01-16 2024-02-05 Y
Provide a written emergency evacuation plan. Fire Safety 2024-01-16 2024-02-05 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-06 2024-01-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-06 2024-01-22 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-12-06 2024-01-22 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-12-06 2024-01-22 Y
Conduct testing and exercise requirements. Fire Safety 2023-12-04 2024-01-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-12-04 2024-01-22 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 2023-12-04 2024-01-22 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-12-04 2024-01-22 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-12-04 2024-01-22 N
Provide properly protected cooking facilities. Fire Safety 2023-12-04 2024-01-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-04 2024-01-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-12-04 2024-01-22 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2023-12-04 2024-01-22 N
Provide a written emergency evacuation plan. Fire Safety 2023-12-04 2024-01-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-04 2024-01-22 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-12-04 2024-01-22 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-12-04 2024-01-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-04 2024-01-22 N
Have proper medical gas storage and administration areas. Fire Safety 2023-12-04 2024-01-22 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-05-18 2023-06-16 Y
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 2022-10-11 2023-03-16 N
Respond appropriately to all alleged violations. Health 2023-02-01 2023-02-27 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-10-11 2023-02-19 N
Provide properly protected cooking facilities. Fire Safety 2022-10-11 2023-02-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-10-11 2023-01-06 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-10-11 2023-01-06 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-10-11 2022-12-04 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 2022-10-07 2022-11-07 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-10-07 2022-11-07 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-10-07 2022-11-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-07 2022-11-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-07 2022-11-07 N
Dispose of garbage and refuse properly. Health 2022-10-07 2022-11-07 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-10-07 2022-11-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-10-07 2022-11-07 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-10-07 2022-11-07 Y
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 2022-10-07 2022-11-07 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-10-07 2022-11-07 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-10-07 2022-11-07 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-07 2022-11-07 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-07 2022-11-07 Y
Provide activities to meet all resident's needs. Health 2022-10-07 2022-11-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-07 2022-11-07 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-10-07 2022-11-07 Y
Ensure staff are vaccinated for COVID-19 Health 2022-10-07 2022-11-07 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-10-07 2022-11-07 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-10-07 2022-11-07 Y
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2022-10-07 2022-11-07 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-10-11 2022-11-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-10-11 2022-11-07 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 2022-10-11 2022-11-07 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-10-11 2022-11-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-11 2022-11-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-11 2022-11-07 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-11 2022-11-07 N
Have power receptacles that are properly grounded. Fire Safety 2022-10-11 2022-11-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-11 2022-11-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-23 2022-07-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-23 2022-07-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-23 2022-07-11 Y
Respond appropriately to all alleged violations. Health 2022-03-31 2022-04-19 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-09 2022-03-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-09 2022-03-10 Y
Keep all essential equipment working safely. Health 2022-02-09 2022-03-10 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-02-09 2022-03-10 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2020-03-10 2020-05-02 N
Keep residents' personal and medical records private and confidential. Health 2020-03-10 2020-05-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-03-10 2020-05-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-03-10 2020-05-02 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 2020-03-10 2020-05-02 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2020-03-10 2020-05-02 N
Post nurse staffing information every day. Health 2020-03-10 2020-05-02 N
Ensure medication error rates are not 5 percent or greater. Health 2020-03-10 2020-05-02 N
Ensure that residents are free from significant medication errors. Health 2020-03-10 2020-05-02 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 2020-03-10 2020-05-02 N
Dispose of garbage and refuse properly. Health 2020-03-10 2020-05-02 N
Provide and implement an infection prevention and control program. Health 2020-03-10 2020-05-02 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2020-03-10 2020-05-02 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2020-03-10 2020-05-02 N
Establish roles under a Waiver declared by secretary. Fire Safety 2020-03-10 2020-05-02 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 2020-03-10 2020-05-02 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2020-03-10 2020-05-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-03-10 2020-05-02 N
Have properly located and lighted "Exit" signs. Fire Safety 2020-03-10 2020-05-02 N
Provide properly protected cooking facilities. Fire Safety 2020-03-10 2020-05-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-03-10 2020-05-02 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2020-03-10 2020-05-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-03-10 2020-05-02 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2020-03-10 2020-05-02 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2020-03-10 2020-05-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-03-10 2020-05-02 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2020-03-10 2020-05-02 N
Provide a written emergency evacuation plan. Fire Safety 2020-03-10 2020-05-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-03-10 2020-05-02 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2020-03-10 2020-05-02 N
Have power receptacles that are properly grounded. Fire Safety 2020-03-10 2020-05-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-03-10 2020-05-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-03-10 2020-05-02 N
Have proper medical gas storage and administration areas. Fire Safety 2020-03-10 2020-05-02 N

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