Inspection Results » Beauvais Manor Healthcare & Rehab Center

Health Inspection on January 15, 2019 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-02-19)
   • 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. (Corrected 2019-02-19)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-02-19)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-19)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2019-02-19)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2019-02-19)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-19)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-19)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-02-19)
   • 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. (Corrected 2019-02-19)
   • 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. (Corrected 2019-02-19)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-02-19)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-19)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-19)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-19)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-19)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-19)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-19)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-02-19)

3. Widespread: No actual harm with potential for minimal harm

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-02-19)
   • 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. (Corrected 2019-02-19)