Beacon Ridge, A Choice Comm
Inspection Findings
F-Tag F689
F-F689, revealed that
the facility's QAPI committee failed to successfully implement their plan to ensure ongoing compliance with regulations regarding safety and accident hazards.
The facility's plan of correction for a deficiency regarding a failure to provide proper catheter care, cited
during the survey ending June 6, 2024, revealed that the facility would complete audits and the results would be reviewed as part of quality assurance. The results of the current survey, cited under
F-Tag F690
F-F690, revealed that
the facility's QAPI committee was ineffective in maintaining compliance with the regulation regarding catheter care.
The facility's plan of corrections for deficiencies regarding accountability of controlled substances, cited
during the survey ending June 6, 2024, revealed that the facility would complete audits and report the results of the audits to the QAPI committee for review. The results of the current survey, cited under
F-Tag F755
F-F755.
28 Pa. Code 201.14(a) Responsibility of Licensee.
28 Pa. Code 201.18(e)(1) Management.
FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 12 of 12 395702