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Deficiency Records for Beachwood Pointe Care Center

A list of the most recent deficiencies for Beachwood Pointe Care 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 Beachwood Pointe Care 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?
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-07-23 2024-09-25 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 2024-07-23 2024-09-25 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2024-07-23 2024-09-25 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 2024-07-23 2024-09-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-23 2024-09-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-23 2024-09-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-23 2024-09-25 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-07-23 2024-09-25 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 2024-07-17 2024-09-24 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 2024-07-17 2024-09-24 N
Provide properly protected cooking facilities. Fire Safety 2024-07-17 2024-09-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-17 2024-09-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-07-17 2024-09-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-17 2024-09-24 N
Meet other general requirements that are deficient. Fire Safety 2024-07-17 2024-09-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-17 2024-09-24 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 2024-07-17 2024-09-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-17 2024-09-24 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-17 2024-09-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-07-17 2024-09-10 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-07-17 2024-09-10 N
Install an approved automatic sprinkler system. Fire Safety 2024-07-17 2024-09-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-07-17 2024-09-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-17 2024-09-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-17 2024-09-10 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 2024-07-23 2024-08-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-23 2024-08-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-25 2024-05-03 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-05 2024-03-06 Y
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2024-03-05 2024-03-06 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-03-05 2024-03-06 Y
Ensure that residents are free from significant medication errors. Health 2024-01-03 2024-01-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-24 2023-08-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-24 2023-08-31 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-24 2023-08-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-24 2023-08-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-24 2023-08-31 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2023-08-24 2023-08-31 Y
Ensure that residents are free from significant medication errors. Health 2023-08-24 2023-08-31 Y
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-08-24 2023-08-31 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-24 2023-08-31 Y
Ensure resident rooms meet each resident's needs. Health 2023-02-02 2023-02-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-21 2022-10-05 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 2022-09-21 2022-10-05 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-21 2022-10-05 Y
Dispose of garbage and refuse properly. Health 2022-09-21 2022-10-05 Y
Provide and implement an infection prevention and control program. Health 2022-09-21 2022-10-05 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-09-21 2022-10-05 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-03 2022-07-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-24 2022-07-20 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-06-24 2022-07-20 Y
Provide and implement an infection prevention and control program. Health 2022-06-03 2022-07-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-11 2022-04-15 N
Ensure medication error rates are not 5 percent or greater. Health 2022-04-11 2022-04-15 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 2022-04-06 2022-04-15 N
Have exits that are accessible at all times. Fire Safety 2022-04-06 2022-04-15 N
Meet other general requirements that are deficient. Fire Safety 2022-04-06 2022-04-15 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-04-06 2022-04-15 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 2022-04-06 2022-04-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-04-06 2022-04-15 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-06 2022-04-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-06 2022-04-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-06 2022-04-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-06 2022-04-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-06 2022-04-15 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-04-06 2022-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-06 2022-04-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-06 2022-04-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-18 2022-02-04 Y
Provide and implement an infection prevention and control program. Health 2022-01-18 2022-02-04 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-10-29 2021-10-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-07 2021-10-30 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-10-07 2021-10-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-07 2021-10-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-07 2021-10-30 Y
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 2019-05-09 2019-06-24 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-05-07 2019-06-24 N
Establish roles under a Waiver declared by secretary. Fire Safety 2019-05-07 2019-06-24 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2019-05-07 2019-06-24 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-05-07 2019-06-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-05-07 2019-06-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-07 2019-06-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-05-07 2019-06-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-05-07 2019-06-24 N
Have proper medical gas storage and administration areas. Fire Safety 2019-05-07 2019-06-24 N

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