Starfile / Pennsylvania

Brighton Rehabilitation and Wellness Center

246 FRIENDSHIP CIRCLE, BEAVER, PA 15009 · CCN 395015

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Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$234,389

Number of fines

5

Number of penalties

7

Payment denials

2

Chain

Chain

EPHRAM LAHASKY

Facilities in chain

28

Chain avg overall

1.80 / 5

Inspection citations (148)9 immediate jeopardy

1. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-29 · Health · corrected 2026-01-16

   Potential for more than minimal harm

2. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-05 · Health · corrected 2025-11-24

   Immediate jeopardy

3. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-12-05 · Health · corrected 2025-12-19

   Potential for more than minimal harm

4. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-04 · Health · corrected 2025-12-12

   Potential for more than minimal harm

5. DF0558Reasonably accommodate the needs and preferences of each resident.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

6. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-04 · Health · corrected 2025-12-12

   Potential for more than minimal harm

7. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-04 · Health · corrected 2025-12-12

   Potential for more than minimal harm

8. DF0760Ensure that residents are free from significant medication errors.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

9. FF0836Ensure 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.2025-12-04 · Health · corrected 2025-12-12

   Potential for more than minimal harm

10. FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2025-12-04 · Health · corrected 2025-12-12

    Potential for more than minimal harm

11. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-12-04 · Health · corrected 2025-12-12

    Potential for more than minimal harm

12. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-27 · Health

    Potential for more than minimal harm

13. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-08-27 · Health

    Potential for more than minimal harm

14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

15. EF0558Reasonably accommodate the needs and preferences of each resident.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

16. EF0584Honor 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.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

17. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-07 · Health · corrected 2025-07-26

    Immediate jeopardy

18. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

19. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

20. DF0803Ensure 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.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

22. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

23. FF0836Ensure 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.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

24. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-08-07 · Health · corrected 2025-09-02

    Potential for more than minimal harm

25. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-06-11 · Health · corrected 2025-06-20

    Potential for more than minimal harm

26. EF0558Reasonably accommodate the needs and preferences of each resident.2025-04-24 · Health · corrected 2025-05-07

    Potential for more than minimal harm

27. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-24 · Health · corrected 2025-05-07

    Potential for more than minimal harm

28. EF0679Provide activities to meet all resident's needs.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

29. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

30. DF0778Help the resident make transportation arrangements to and from radiology services.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

31. FF0836Ensure 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.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

32. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-14 · Health · corrected 2025-05-02

    Potential for more than minimal harm

33. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

34. DF0583Keep residents' personal and medical records private and confidential.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

35. EF0584Honor 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.2025-02-14 · Health · corrected 2025-05-21

    Potential for more than minimal harm

36. DF0585Honor 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.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

37. DF0610Respond appropriately to all alleged violations.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

38. DF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

39. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

40. DF0641Ensure each resident receives an accurate assessment.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

42. DF0688Provide 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.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

43. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-14 · Health · corrected 2025-03-13

    Immediate jeopardy

44. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

45. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

46. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

47. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

48. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

49. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

50. EF0699Provide care or services that was trauma informed and/or culturally competent.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

51. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

52. JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-14 · Health · corrected 2025-03-13

    Immediate jeopardy

53. DF0761Ensure 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.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

54. DF0791Provide or obtain dental services for each resident.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

55. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

56. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

57. DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

58. FF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

59. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

60. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

61. DF0880Provide and implement an infection prevention and control program.2025-02-14 · Health · corrected 2025-05-02

    Potential for more than minimal harm

62. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

63. DF0887Educate 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.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

64. DF0908Keep all essential equipment working safely.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

65. EF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.2025-02-14 · Health · corrected 2025-05-02

    Potential for more than minimal harm

66. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-14 · Health · corrected 2025-03-13

    Potential for more than minimal harm

67. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-01-09 · Health · corrected 2025-01-17

    Potential for more than minimal harm

68. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-12 · Health · corrected 2024-12-27

    Potential for more than minimal harm

69. FF0584Honor 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.2024-12-12 · Health · corrected 2024-12-27

    Potential for more than minimal harm

70. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-12-12 · Health · corrected 2024-12-27

    Potential for more than minimal harm

71. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-12 · Health · corrected 2024-12-27

    Potential for more than minimal harm

72. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-12-12 · Health · corrected 2024-12-27

    Potential for more than minimal harm

73. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-11-07 · Health · corrected 2024-11-22

    Potential for more than minimal harm

74. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-07 · Health · corrected 2024-11-22

    Potential for more than minimal harm

75. EF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-11-22

    Potential for more than minimal harm

76. FF0584Honor 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.2024-10-17 · Health · corrected 2024-10-25

    Potential for more than minimal harm

77. EF0584Honor 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.2024-10-11 · Health · corrected 2024-10-25

    Potential for more than minimal harm

78. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-11 · Health · corrected 2024-10-25

    Potential for more than minimal harm

79. EF0880Provide and implement an infection prevention and control program.2024-10-11 · Health · corrected 2024-10-25

    Potential for more than minimal harm

80. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-25 · Health · corrected 2024-10-08

    Potential for more than minimal harm

81. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-09-04 · Health · corrected 2024-09-20

    Potential for more than minimal harm

82. EF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-09-04 · Health · corrected 2024-09-20

    Potential for more than minimal harm

83. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-04 · Health · corrected 2024-09-20

    Potential for more than minimal harm

84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-04 · Health · corrected 2024-09-20

    Potential for more than minimal harm

85. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-24 · Health · corrected 2024-08-08

    Potential for more than minimal harm

86. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-24 · Health · corrected 2024-08-08

    Potential for more than minimal harm

87. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-07-24 · Health · corrected 2024-08-08

    Potential for more than minimal harm

88. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-07-24 · Health · corrected 2024-08-08

    Potential for more than minimal harm

89. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-07-24 · Health · corrected 2024-08-08

    Potential for more than minimal harm

90. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-02 · Health · corrected 2024-08-02

    Potential for more than minimal harm

91. DF0760Ensure that residents are free from significant medication errors.2024-07-02 · Health · corrected 2024-08-02

    Potential for more than minimal harm

92. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-07-02 · Health · corrected 2024-08-02

    Potential for more than minimal harm

93. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-07-02 · Health · corrected 2024-08-02

    Potential for more than minimal harm

94. LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-02 · Health · corrected 2024-08-02

    Immediate jeopardy

95. LF0836Ensure 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.2024-07-02 · Health · corrected 2024-08-02

    Immediate jeopardy

96. EF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2024-07-02 · Health · corrected 2024-08-02

    Potential for more than minimal harm

97. DF0584Honor 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.2024-06-12 · Health · corrected 2024-06-25

    Potential for more than minimal harm

98. DF0583Keep residents' personal and medical records private and confidential.2024-04-10 · Health · corrected 2024-05-08

    Potential for more than minimal harm

99. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-03-13 · Health · corrected 2024-05-08

    Potential for more than minimal harm

100. DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

101. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

102. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

103. EF0584Honor 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.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

104. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-13 · Health · corrected 2024-05-27

     Potential for more than minimal harm

105. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

106. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

107. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

108. DF0610Respond appropriately to all alleged violations.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

109. DF0625Notify 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.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

110. DF0641Ensure each resident receives an accurate assessment.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

111. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

112. LF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-03-13 · Health · corrected 2024-05-08

     Immediate jeopardy

113. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-13 · Health · corrected 2024-05-08

     Immediate jeopardy

114. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-13 · Health · corrected 2024-05-08

     Immediate jeopardy

115. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

116. DF0692Provide enough food/fluids to maintain a resident's health.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

117. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

118. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

119. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

120. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

121. DF0758Implement 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.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

122. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

123. FF0814Dispose of garbage and refuse properly.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

124. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

125. FF0837Establish 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.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

126. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

127. DF0880Provide and implement an infection prevention and control program.2024-03-13 · Health · corrected 2024-05-08

     Potential for more than minimal harm

128. EF0584Honor 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.2023-11-28 · Health · corrected 2023-12-27

     Potential for more than minimal harm

129. EF0679Provide activities to meet all resident's needs.2023-11-28 · Health · corrected 2023-12-27

     Potential for more than minimal harm

130. EF0680Ensure the activities program is directed by a qualified professional.2023-11-28 · Health · corrected 2023-12-27

     Potential for more than minimal harm

131. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-28 · Health · corrected 2023-12-27

     Potential for more than minimal harm

132. DF0908Keep all essential equipment working safely.2023-11-28 · Health · corrected 2023-12-27

     Potential for more than minimal harm

133. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-11-28 · Health · corrected 2023-12-27

     Potential for more than minimal harm

134. EF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-10-19 · Health · corrected 2023-11-15

     Potential for more than minimal harm

135. EF0584Honor 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.2023-10-19 · Health · corrected 2023-11-15

     Potential for more than minimal harm

136. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-19 · Health · corrected 2023-11-15

     Potential for more than minimal harm

137. EF0761Ensure 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.2023-10-19 · Health · corrected 2023-11-15

     Potential for more than minimal harm

138. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-19 · Health · corrected 2023-11-15

     Potential for more than minimal harm

139. DF0880Provide and implement an infection prevention and control program.2023-09-06 · Health · corrected 2023-09-25

     Potential for more than minimal harm

140. DF0885Report COVID19 data to residents and families.2023-09-06 · Health · corrected 2023-09-25

     Potential for more than minimal harm

141. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-08-22 · Health · corrected 2023-09-27

     Potential for more than minimal harm

142. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-22 · Health · corrected 2023-09-27

     Potential for more than minimal harm

143. DF0685Assist a resident in gaining access to vision and hearing services.2023-08-22 · Health · corrected 2023-09-27

     Potential for more than minimal harm

144. DF0584Honor 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.2023-05-01 · Health · corrected 2023-05-24

     Potential for more than minimal harm

145. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-01 · Health · corrected 2023-05-24

     Potential for more than minimal harm

146. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-31 · Health · corrected 2023-05-11

     Potential for more than minimal harm

147. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-31 · Health · corrected 2023-05-11

     Potential for more than minimal harm

148. DF0760Ensure that residents are free from significant medication errors.2023-03-31 · Health · corrected 2023-05-11

     Potential for more than minimal harm

Ownership

Other facilities in BEAVER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.