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Deficiency Records for Bruce Mccandless Co State Veterans Nursing Home
A list of the most recent deficiencies for Bruce Mccandless Co State Veterans Nursing Home. 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 Bruce Mccandless Co State Veterans Nursing Home. 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 | 2024-07-02 | 2024-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-09-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-06 | 2024-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-06 | 2024-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-07-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-06-06 | 2024-07-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-06 | 2024-07-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-06 | 2024-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-01 | 2020-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-01 | 2020-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-01 | 2020-09-24 | N |
| Provide large enough exits. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Have properly spaced exits within rooms. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-01 | 2020-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-01 | 2020-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-27 | 2020-08-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-08-13 | 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 | 2020-02-27 | 2020-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-08-13 | N |
| 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 | 2020-02-27 | 2020-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-08-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-08-13 | N |
| 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 | 2020-02-27 | 2020-08-13 | 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 | 2020-02-27 | 2020-08-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-27 | 2020-08-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-27 | 2020-08-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-27 | 2020-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-06 | 2019-04-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-02-21 | 2019-04-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-21 | 2019-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-06 | 2019-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-06 | 2019-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-06 | 2019-04-04 | N |
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