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Health Inspection

Beaumont Rehabilitation And Healthcare Center

July 2, 2024 · Anderson, IN · 1345 N Madison Ave
Citations 1
CMS Rating 2/5
Beds 200
Provider ID 155005
Healthcare Facility
Beaumont Rehabilitation And Healthcare Center
Anderson, IN  ·  View full profile →
Inspection Summary

BEAUMONT REHABILITATION AND HEALTHCARE CENTER in ANDERSON, IN — inspection on July 2, 2024.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF761
Minimal harm or 42685 Few control procedures during wound care related to Enhanced Barrier Precautions (EBPs) for 2 of 5 resident affected

During a wound observation and interview on 6/27/24 at 2:38 p.m., LPN 12 and CNA 13 entered Resident 70's Enhanced Barrier Precaution room with the sign visible to the left side of the door along with the personal protective equipment canister.

They both performed hand washing, donned gloves, then LPN 12 set everything up for wound care. LPN 12 used gloved hands and removed the moderately soiled dressing from the resident's right buttock. CNA 13 was there to assist with the wound care.

Neither LPN 12 nor CNA 13 donned a gown.

Throughout wound care, both LPN 12 and CNA 13 leaned up against the resident's mattress with their unprotected clothing.

The wound bed on the right buttocks was covered with slough and consistent with the last wound assessment measurements and description.

Resident 70's clinical record was reviewed on 6/26/24 at 4:20 p.m. A current physician order, dated 4/25/24, included the following: Enhanced Barrier Precaution Isolation for high contact resident activity.

Gown and glove use was required for dressing, bathing/showering, transferring, changing linens, providing hygiene, changing briefs, or assisting with toileting, device care or use (central line, urinary catheter, feeding tube, tracheostomy), or wound care every shift.

During an observation on 6/24/24 at 11:59 a.m., Resident 83's room had an Enhanced Barrier Precaution sign noted to the left of her door.

Upon entry to the room, the Personal Protective Equipment (PPE) canister was located behind the door in a canister.

Resident 83's clinical record was reviewed on 6/27/24 at 10:22 a.m. A current physician's order, dated 4/25/24, included the following: Enhanced Barrier Precaution Isolation for high contact resident activity.

Gown and glove use was required for dressing, bathing/showering, transferring, changing linens, providing hygiene, changing briefs, or assisting with toileting, device care or use (central line, urinary catheter, feeding tube, tracheostomy), or wound care every shift.

During a wound observation on 6/27/24 at 3:39 p.m., LPN 12 approached Resident 83's room with an Enhanced Barrier Precaution sign hung on the left side of the resident's door.

The sign indicated high contact care such as wound care required hand hygiene, a gown, and gloves.

Upon entry to the resident's room, LPN 12 washed her hands.

She donned gloves for wound care but did not wear a gown for the wound care.

Upon removal of the dressing, the wound to the left lateral foot was open and slightly smaller than the tip of an eraser with a discernable depth. A small amount of serous drainage was noted on the removed dressing.

155005

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 155005 B.

Wing 07/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Beaumont Rehabilitation and Healthcare Center 1345 N Madison Ave Anderson, IN 46011

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ANDERSON, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BEAUMONT REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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