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Deficiency Records for Beech Tree Health and Rehabilitation
A list of the most recent deficiencies for Beech Tree 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 Beech Tree 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-11 | 2024-08-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-11 | 2024-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-11 | 2024-05-24 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-11 | 2024-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-11 | 2024-05-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-11 | 2024-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-11 | 2024-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-11 | 2024-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-11 | 2024-05-24 | N |
| Post nurse staffing information every day. | Health | 2024-04-11 | 2024-05-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-11 | 2024-05-24 | 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 | 2024-04-11 | 2024-05-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-11 | 2024-05-24 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-11 | 2024-05-24 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-04-11 | 2024-05-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-01 | 2024-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-01 | 2024-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-01 | 2024-05-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-01 | 2024-05-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-03 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2023-01-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-11 | 2022-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-28 | 2022-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-16 | 2021-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-16 | 2021-12-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-14 | 2021-12-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-14 | 2021-12-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-11-14 | 2021-12-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-14 | 2021-12-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-20 | 2019-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-20 | 2019-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-19 | 2019-05-03 | N |
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