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Deficiency Records for Berthoud Care and Rehabilitation
A list of the most recent deficiencies for Berthoud Care and Rehabilitation. 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 Berthoud Care and Rehabilitation. 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? |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-12 | 2024-08-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-11 | 2024-07-10 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-11 | 2024-07-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-14 | 2023-04-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-04 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-16 | 2023-03-25 | N |
Provide activities to meet all resident's needs. | Health | 2023-02-16 | 2023-03-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-16 | 2023-03-17 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-16 | 2023-03-17 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-02-16 | 2023-03-17 | 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 | 2023-02-16 | 2023-03-17 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-14 | 2023-03-16 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-09 | 2021-12-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-09 | 2021-12-08 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-09 | 2021-12-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-09 | 2021-12-08 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-09 | 2021-12-08 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-09 | 2021-12-08 | Y |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-11-09 | 2021-11-09 | N |
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