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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 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 | 2024-10-03 | 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 | 2024-10-02 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-17 | 2024-10-01 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-07-17 | 2024-10-01 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-07-17 | 2024-10-01 | 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 | 2024-10-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-17 | 2024-10-01 | 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 | 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 |
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 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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