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Deficiency Records for Beth Haven Nursing Home

A list of the most recent deficiencies for Beth Haven Nursing Home. 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 Beth Haven Nursing Home. 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 2024-07-18 2024-07-31 Y
Respond appropriately to all alleged violations. Health 2024-07-18 2024-07-31 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-18 2024-07-31 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-14 2024-07-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-14 2024-07-31 Y
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2024-06-14 2024-07-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-23 2024-06-06 Y
Respond appropriately to all alleged violations. Health 2024-04-23 2024-06-06 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 2023-05-02 2023-09-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-02 2023-09-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-02 2023-09-01 N
Respond appropriately to all alleged violations. Health 2023-05-02 2023-09-01 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 2023-05-02 2023-09-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-02 2023-09-01 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 2023-05-02 2023-09-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-02 2023-09-01 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 2023-05-02 2023-09-01 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 2023-05-02 2023-09-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-05-02 2023-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-02 2023-09-01 N
Provide and implement an infection prevention and control program. Health 2023-05-02 2023-09-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-02 2023-06-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-02 2023-06-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-02 2023-06-26 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-05-02 2023-06-26 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-05-02 2023-06-26 N
Observe each nurse aide's job performance and give regular training. Health 2023-05-02 2023-06-26 N
Post nurse staffing information every day. Health 2023-05-02 2023-06-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-02 2023-06-26 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 2023-05-02 2023-06-26 N
Ensure that residents are free from significant medication errors. Health 2023-05-02 2023-06-26 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-05-02 2023-06-26 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-05-02 2023-06-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-02 2023-06-26 Y
Establish emergency prep training and testing. Fire Safety 2023-05-02 2023-06-26 N
Use approved construction type or materials. Fire Safety 2023-05-02 2023-06-26 N
Install proper backup exit lighting. Fire Safety 2023-05-02 2023-06-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-02 2023-06-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-02 2023-06-26 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-11-04 2022-12-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-04 2022-12-08 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 2022-11-04 2022-12-08 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-11-04 2022-12-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-04 2022-12-08 Y
Provide and implement an infection prevention and control program. Health 2022-11-04 2022-12-08 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-09-02 2022-12-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-02 2022-12-08 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 2022-09-02 2022-12-08 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-09-02 2022-12-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-02 2022-12-08 Y
Provide and implement an infection prevention and control program. Health 2022-09-02 2022-12-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-28 2022-07-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-28 2022-07-27 Y
Respond appropriately to all alleged violations. Health 2022-06-28 2022-07-27 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-06-28 2022-07-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-30 2022-04-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-30 2022-04-28 Y
Respond appropriately to all alleged violations. Health 2022-03-30 2022-04-28 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2021-11-10 2022-01-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-10 2022-01-28 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-11-10 2022-01-28 Y
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 2021-11-10 2022-01-28 Y
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 2021-11-10 2022-01-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-12 2019-11-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-12 2019-11-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-09-12 2019-10-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-09-12 2019-10-23 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-09-12 2019-10-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-12 2019-10-23 N
Provide care by qualified persons according to each resident's written plan of care. Health 2019-09-12 2019-10-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-12 2019-10-23 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 2019-09-12 2019-10-23 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-09-12 2019-10-23 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-09-12 2019-10-23 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 2019-09-12 2019-10-23 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 2019-09-12 2019-10-23 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-09-12 2019-10-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-12 2019-10-23 N
Provide and implement an infection prevention and control program. Health 2019-09-12 2019-10-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-09-12 2019-10-23 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 2019-09-12 2019-10-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-12 2019-10-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-12 2019-10-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-12 2019-10-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-09-12 2019-10-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-09-12 2019-10-23 N
Meet other general requirements. Fire Safety 2019-09-12 2019-10-23 N
Honor the resident's right to manage his or her financial affairs. Health 2018-08-16 2018-09-28 N
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Health 2018-08-16 2018-09-28 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 2018-08-16 2018-09-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-08-16 2018-09-28 N
Respond appropriately to all alleged violations. Health 2018-08-16 2018-09-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-08-16 2018-09-28 N
Provide activities to meet all resident's needs. Health 2018-08-16 2018-09-28 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 2018-08-16 2018-09-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-08-16 2018-09-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-08-16 2018-09-28 N
Establish emergency prep training and testing. Fire Safety 2018-08-16 2018-09-28 N
Implement emergency and standby power systems. Fire Safety 2018-08-16 2018-09-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-08-16 2018-09-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-16 2018-09-28 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2018-08-16 2018-09-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-08-16 2018-09-28 N

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