Award Care at Beneva

In the surveyor’s words

From the most serious findings on record at Award Care at Beneva, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Jan 9, 2026

  Based on observation, record review, review of facility's policies and procedures, residents and staff interviews, the facility failed to implement processes to prevent avoidable accidents by failing to ensure the appropriate storage of ignition devices for 6 (Residents #71,#106, #9, #26, #43, and #67) of 23 residents who smoke tobacco products and/or use oxygen.The unsafe practice of allowing residents to store ignition sources such as lighters in their rooms where oxygen is in use created a significant fire safety risk to the entire facility. […]

• Immediate jeopardy, widespreadF835Jan 9, 2026

  Based on observation, record review, residents and staff interviews, the facility administration failed to provide effective oversight and enforcement of safe smoking practices. The facility Administration became aware of the concerns of unsafe storage of ignition devices and failed to intervene to protect the health and safety of all residents, as evidenced by interviews with the Director of Nursing and the Administrator who both stated that the issues were brought to their attention in September and October of 2025 when they started working in the facility. […]

• Immediate jeopardy, widespreadF865Jan 9, 2026

  Based on observation, record review and interviews, the facility failed to have an effective Quality Assurance and Performance Improvement (QAPI) program to address the known unsafe smoking practices since September 2025 for 6 (Residents #71, #106, #9, #26, #43, and #67) of 6 sampled residents who smoke tobacco products. The facility failure to develop corrective actions to ensure the safe storage of ignition devices and continuing to allow residents who use oxygen to retain/store lighters in their rooms created a significant, avoidable fire safety risk that could impact all 101 residents who reside in the single-story facility. […]

• Immediate jeopardy, widespreadF926Jan 9, 2026

  Based on observations, record review, review of facility's policies and procedures, residents and staff interviews, the facility failed to implement and enforce the facility's supervised smoking policy to ensure safe smoking practices for 6 (#71, #106, #9, #26, #43, and #67) of 6 sampled smokers and prohibit the storage of ignition devices around oxygen use for 2 (Residents #71 and #106) of 2 sampled residents reviewed for safe smoking.The facility failure to enforce the smoking policy that clearly addressed the safe storage of ignition devices by allowing residents who use oxygen, or share rooms with residents who use oxygen, to keep lighters/ignition devices unsecured in their rooms created an avoidable fire safety risk, placing all 101 residents who reside in the single story facility… […]

• Immediate jeopardy, isolatedF600Dec 2, 2022

  Based on record review, staff interviews, review of the facility's abuse and neglect policy and procedure, the facility failed to protect vulnerable residents' rights to be free from abuse for 1 (Resident #1) of 3 sampled residents. On 7/18/22, Resident #1 was observed with his mouth on Resident #2's penis. Resident #1 had severe cognitive impairment and could not consent to sexual activities. The facility failed to protect resident #1 from further potential abuse by allowing Resident #1 and Resident #2 to continue to share a room without adequate supervision after the incident. Sexual abuse can cause feelings of shame, terror, and guilt. Due to the trauma and negative emotions linked to sexual abuse, survivors are at risk for mental health conditions. […]