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Deficiency Records for Beatrice Health and Rehabilitation
A list of the most recent deficiencies for Beatrice Health and Rehabilitation. 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 Beatrice Health and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 | 2024-04-23 | 2024-06-07 | 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 | 2024-04-23 | 2024-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-23 | 2024-06-07 | 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 | 2024-04-23 | 2024-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-23 | 2024-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-23 | 2024-06-07 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2024-04-23 | 2024-06-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-23 | 2024-06-07 | 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 | 2024-04-23 | 2024-06-07 | 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 | 2024-04-23 | 2024-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-23 | 2024-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-14 | 2023-07-14 | 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 | 2023-05-01 | 2023-07-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-01 | 2023-06-16 | 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 | 2023-05-01 | 2023-06-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-03 | 2023-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-05-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-05-03 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 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 | 2023-05-03 | 2023-05-25 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-19 | 2022-10-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-19 | 2022-10-21 | 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 | 2022-09-19 | 2022-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-19 | 2022-10-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-19 | 2022-10-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-19 | 2022-10-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-17 | 2022-04-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-17 | 2022-04-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-17 | 2022-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-17 | 2022-04-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-04-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-17 | 2022-04-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-17 | 2022-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-13 | Y |
| 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 | 2022-03-17 | 2022-04-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-17 | 2022-04-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-03-14 | 2022-04-13 | 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 | 2022-03-14 | 2022-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-14 | 2022-04-13 | N |
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