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Deficiency Records for Harmony Care at Beaumont

A list of the most recent deficiencies for Harmony Care at 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 Harmony Care at 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-07-02 2024-07-30 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-07-02 2024-07-30 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 2024-07-02 2024-07-30 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-07-02 2024-07-30 Y
Provide and implement an infection prevention and control program. Health 2024-07-02 2024-07-30 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-06-08 2024-06-11 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2024-06-08 2024-06-11 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-05-23 2024-06-07 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-23 2024-06-06 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-23 2024-06-06 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-23 2024-06-06 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-04-23 2024-05-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-23 2024-05-15 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-04-18 2024-05-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-23 2024-05-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-23 2024-04-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-03-27 2024-03-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-27 2024-03-29 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-03-27 2024-03-29 Y
Meet other general requirements that are deficient. Fire Safety 2023-09-27 2023-11-06 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 2023-09-27 2023-11-03 N
Keep residents' personal and medical records private and confidential. Health 2023-10-12 2023-10-30 Y
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2023-10-12 2023-10-30 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-10-23 2023-10-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-23 2023-10-24 Y
Ensure each resident receives an accurate assessment. Health 2023-09-27 2023-10-20 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-09-27 2023-10-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-27 2023-10-20 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 2023-09-27 2023-10-20 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-09-27 2023-10-20 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-09-27 2023-10-20 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 2023-09-27 2023-10-20 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-09-27 2023-10-20 N
Provide and implement an infection prevention and control program. Health 2023-09-27 2023-10-20 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-09-27 2023-10-20 N
Have policies on smoking. Health 2023-09-27 2023-10-20 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-09-27 2023-10-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-27 2023-10-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-09-27 2023-10-20 N
Have proper openings in smoke barrier doors. Fire Safety 2023-09-27 2023-10-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-09-27 2023-10-20 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 2023-07-31 2023-09-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-14 2023-07-18 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-14 2023-07-18 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-06-14 2023-07-18 Y
Ensure the activities program is directed by a qualified professional. Health 2023-06-14 2023-07-18 Y
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 2023-06-14 2023-07-18 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-26 2023-01-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-26 2023-01-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-26 2023-01-28 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-09 2022-09-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-09 2022-09-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-20 2022-09-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-20 2022-09-07 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-07-20 2022-08-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-07-20 2022-08-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-07-20 2022-08-26 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2022-07-20 2022-08-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-07-22 2022-07-25 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-22 2022-07-24 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-23 2022-02-28 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-27 2022-01-31 Y
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2022-01-27 2022-01-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-27 2022-01-31 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-01-27 2022-01-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-27 2022-01-31 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 2022-01-27 2022-01-31 Y
Install an approved automatic sprinkler system. Fire Safety 2021-05-18 2021-06-15 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-05-19 2021-06-01 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 2021-05-19 2021-06-01 N
Ensure medication error rates are not 5 percent or greater. Health 2021-05-19 2021-06-01 N
Ensure that residents are free from significant medication errors. Health 2021-05-19 2021-06-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-19 2021-06-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-18 2021-06-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-18 2021-06-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-05-18 2021-05-24 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 2021-05-18 2021-05-24 N
Assure the security of all personal funds of residents deposited with the facility. Health 2021-05-19 2021-05-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-09-27 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-09-27 Not Fixed N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-07-20 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-07-20 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-05-18 Not Fixed N

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