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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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