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Deficiency Records for Birchwood of Beaumont
A list of the most recent deficiencies for Birchwood of Beaumont. 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 Birchwood of Beaumont. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-28 | 2024-06-20 | 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 | 2024-05-28 | 2024-06-14 | N |
| Keep all essential equipment working safely. | Health | 2024-05-01 | 2024-05-24 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-05-01 | 2024-05-24 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-05-01 | 2024-05-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-05-01 | 2024-05-24 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-05-01 | 2024-05-24 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-05-01 | 2024-05-24 | N |
| Provide training in compliance and ethics. | Health | 2024-05-01 | 2024-05-24 | 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 | 2024-05-01 | 2024-05-24 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-05-01 | 2024-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-01 | 2024-05-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-01 | 2024-05-17 | N |
| 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 | 2024-05-01 | 2024-05-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-01 | 2024-05-17 | 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 | 2024-05-01 | 2024-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-01 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-01 | 2024-05-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-01 | 2024-05-03 | N |
| 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 | 2024-05-01 | 2024-05-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-01 | 2024-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-01 | 2024-05-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-10 | 2024-01-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-01 | 2023-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-01 | 2023-03-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-01 | 2023-03-03 | 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 | 2023-03-01 | 2023-03-02 | 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 | 2023-03-01 | 2023-03-02 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-12-09 | 2022-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-08-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-03 | 2022-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-03 | 2022-06-21 | 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 | 2022-06-03 | 2022-06-21 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-09 | 2022-03-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-14 | 2022-01-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-01 | 2021-12-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-01 | 2021-12-31 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-14 | 2021-12-22 | 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 | 2021-12-14 | 2021-12-16 | N |
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