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Deficiency Records for Bayberry Skilled Nursing and Healthcare Center
A list of the most recent deficiencies for Bayberry Skilled Nursing and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Bayberry Skilled Nursing and Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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. | Health | 2024-06-28 | 2024-07-28 | N |
| 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. | Health | 2024-06-28 | 2024-07-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-28 | 2024-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-28 | 2024-07-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-06-28 | 2024-07-28 | N |
| Keep all essential equipment working safely. | Health | 2024-06-28 | 2024-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-28 | 2024-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-28 | 2024-07-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-28 | 2024-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-28 | 2024-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-28 | 2024-07-10 | N |
| Honor 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. | Health | 2022-11-22 | 2023-01-27 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-23 | 2021-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2021-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2021-11-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-19 | 2021-11-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-19 | 2021-11-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2021-11-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-08 | 2019-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-22 | 2019-03-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-22 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-22 | 2019-03-22 | N |
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