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Deficiency Records for Bixby Knolls Towers Health Care and Rehab Center
A list of the most recent deficiencies for Bixby Knolls Towers Health Care and Rehab 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 Bixby Knolls Towers Health Care and Rehab 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-09-14 | Y |
| Implement 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. | Health | 2024-08-15 | 2024-09-14 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-12 | 2024-08-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-12 | 2024-08-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-07-12 | 2024-08-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-12 | 2024-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-12 | 2024-08-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-12 | 2024-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-08-02 | N |
| 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 | 2024-07-12 | 2024-08-02 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-12 | 2024-08-02 | 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 | 2024-07-12 | 2024-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-12 | 2024-08-02 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-12 | 2024-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-12 | 2024-08-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-08 | 2024-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-08 | 2024-05-01 | Y |
| 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 | 2024-04-08 | 2024-05-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-08 | 2024-05-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-08 | 2024-05-01 | Y |
| Provide appropriate foot care. | Health | 2024-03-05 | 2024-03-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-26 | 2024-01-22 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-07 | 2024-01-07 | Y |
| Provide 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. | Health | 2023-12-07 | 2024-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-07 | 2024-01-07 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-02 | 2023-12-02 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-06-21 | 2023-07-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-19 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-12 | 2023-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-14 | 2022-12-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-05-19 | 2022-07-15 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-23 | 2022-07-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-08 | 2022-01-07 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-10-20 | 2021-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-20 | 2021-11-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-20 | 2021-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-20 | 2021-11-12 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-10-20 | 2021-11-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-10-20 | 2021-11-12 | 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 | 2021-10-20 | 2021-11-12 | N |
| 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 | 2021-10-20 | 2021-11-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-20 | 2021-11-12 | 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 | 2021-10-20 | 2021-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-20 | 2021-11-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-10-20 | 2021-11-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-20 | 2021-11-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-13 | 2021-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-13 | 2021-11-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-12-17 | 2020-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-17 | 2020-01-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-17 | 2020-01-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-17 | 2020-01-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-06 | 2020-01-06 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-12-06 | 2020-01-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-12-06 | 2020-01-06 | N |
| Honor 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. | Health | 2019-12-06 | 2020-01-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-06 | 2020-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-06 | 2020-01-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-06 | 2020-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-06 | 2020-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2020-01-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-06 | 2020-01-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-06 | 2020-01-06 | N |
| Post nurse staffing information every day. | Health | 2019-12-06 | 2020-01-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-12-06 | 2020-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-06 | 2020-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-06 | 2020-01-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-06 | 2020-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-06 | 2020-01-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-06 | 2020-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2020-01-06 | N |
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