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Deficiency Records for Bickford Health Care Center
A list of the most recent deficiencies for Bickford Health Care 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 Bickford Health Care 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? |
---|---|---|---|---|
Meet other general requirements. | Fire Safety | 2024-04-26 | 2024-10-08 | N |
Meet other general requirements. | Fire Safety | 2024-04-26 | 2024-10-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-26 | 2024-09-24 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-26 | 2024-09-24 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-29 | 2024-06-10 | 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 | 2024-04-29 | 2024-06-10 | 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 | 2024-04-29 | 2024-06-10 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-29 | 2024-06-10 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-29 | 2024-06-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-29 | 2024-06-10 | N |
Respond appropriately to all alleged violations. | Health | 2024-04-29 | 2024-06-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-29 | 2024-06-10 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-29 | 2024-06-10 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-29 | 2024-06-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-29 | 2024-06-10 | 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 | 2024-04-29 | 2024-06-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-29 | 2024-06-10 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-29 | 2024-06-10 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-29 | 2024-06-10 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-29 | 2024-06-10 | 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 | 2024-04-29 | 2024-06-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-29 | 2024-06-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-29 | 2024-06-10 | N |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-29 | 2024-06-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-26 | 2024-05-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-26 | 2024-05-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-26 | 2024-05-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-26 | 2024-05-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-04-26 | 2024-05-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-26 | 2024-05-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-26 | 2024-05-08 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-14 | 2022-10-25 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-05-26 | Y |
Perform COVID19 testing on residents and staff. | Health | 2022-03-16 | 2022-05-26 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-16 | 2022-05-26 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-16 | 2022-05-26 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-16 | 2022-05-20 | Y |
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 | 2021-12-28 | 2022-03-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-28 | 2022-03-17 | N |
Respond appropriately to all alleged violations. | Health | 2021-12-28 | 2022-03-17 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-28 | 2022-03-17 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-28 | 2022-03-17 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-28 | 2022-03-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-28 | 2022-03-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-28 | 2022-03-17 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-12-28 | 2022-03-17 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-12-28 | 2022-03-17 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-28 | 2022-03-17 | 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 | 2021-12-28 | 2022-03-17 | N |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-12-28 | 2022-03-17 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2021-12-28 | 2022-03-17 | 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 | 2021-12-28 | 2022-03-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-28 | 2022-03-17 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-28 | 2022-03-17 | N |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-12-28 | 2022-03-17 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-28 | 2022-03-17 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-28 | 2022-03-17 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-28 | 2022-03-17 | N |
Implement a program that monitors antibiotic use. | Health | 2021-12-28 | 2022-03-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-28 | 2022-03-17 | N |
Report COVID19 data to residents and families. | Health | 2021-12-28 | 2022-03-17 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-12-28 | 2022-03-17 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-12-28 | 2022-03-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-28 | 2022-03-15 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-12-22 | 2022-03-01 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-12-22 | 2022-03-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-22 | 2022-03-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-22 | 2022-03-01 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-01-17 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-11-27 | 2020-01-07 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-27 | 2020-01-07 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-11-26 | 2020-01-06 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2019-11-27 | 2020-01-06 | 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 | 2019-11-27 | 2020-01-06 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-11-27 | 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 | 2019-11-26 | 2019-12-30 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2019-12-30 | N |
Respond appropriately to all alleged violations. | Health | 2019-11-26 | 2019-12-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-26 | 2019-12-30 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-26 | 2019-12-30 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-27 | 2019-12-16 | N |
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