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Deficiency Records for Beverly Hills Rehabilitation Centre
A list of the most recent deficiencies for Beverly Hills Rehabilitation Centre. 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 Beverly Hills Rehabilitation Centre. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-07-30 | 2024-08-21 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-24 | 2024-08-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-24 | 2024-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-24 | 2024-08-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-07-18 | 2024-08-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-07-18 | 2024-08-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-18 | 2024-08-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-18 | 2024-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-18 | 2024-08-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-18 | 2024-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-18 | 2024-08-11 | N |
| 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 | 2024-07-18 | 2024-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-11 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-18 | 2024-08-11 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-07-18 | 2024-08-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-07-18 | 2024-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-18 | 2024-08-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-07-18 | 2024-08-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-18 | 2024-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-02 | 2024-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-06 | 2024-03-24 | Y |
| 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 | 2024-03-06 | 2024-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-18 | 2024-02-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-01-18 | 2024-02-09 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-26 | 2024-01-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-26 | 2024-01-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-26 | 2024-01-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-09 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-10-09 | 2023-11-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-09 | 2023-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-09 | 2023-11-08 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-14 | 2023-10-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-14 | 2023-10-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-06 | 2023-09-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-25 | 2023-09-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-25 | 2023-09-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-25 | 2023-09-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-25 | 2023-09-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-15 | 2023-09-01 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-04 | 2023-08-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-01 | 2023-08-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-01 | 2023-08-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-01 | 2023-08-12 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-01 | 2023-08-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-11 | 2023-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-11 | 2023-06-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-24 | 2023-04-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-11 | 2023-03-11 | Y |
| Post nurse staffing information every day. | Health | 2022-12-29 | 2023-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-31 | 2023-02-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-27 | 2023-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-29 | 2023-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-12-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-09 | 2022-11-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-09 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-24 | 2022-11-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-10-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-19 | 2022-10-03 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-14 | 2022-10-02 | 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 | 2022-07-29 | 2022-08-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-29 | 2022-08-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-08-09 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-27 | 2022-07-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-06-29 | 2022-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-04 | 2022-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-07 | 2022-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-29 | 2022-05-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-18 | 2022-04-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-18 | 2022-04-08 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-18 | 2022-04-08 | 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 | 2022-03-18 | 2022-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-18 | 2022-04-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-18 | 2022-04-08 | N |
| 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 | 2022-03-18 | 2022-04-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-18 | 2022-04-08 | 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 | 2022-03-18 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-18 | 2022-04-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-17 | 2022-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-19 | 2022-04-05 | 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 | 2022-02-12 | 2022-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-08 | 2022-02-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-08 | 2021-11-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-08 | 2021-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-03 | 2021-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-15 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-15 | 2019-12-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-15 | 2019-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-15 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-15 | 2019-12-20 | N |
| Post nurse staffing information every day. | Health | 2019-11-15 | 2019-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-15 | 2019-12-20 | 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 | 2019-11-15 | 2019-12-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-11-15 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-15 | 2019-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-19 | 2019-12-05 | N |
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