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Deficiency Records for Boulevard Rehabilitation Center
A list of the most recent deficiencies for Boulevard Rehabilitation 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 Boulevard Rehabilitation 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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-15 | 2024-03-15 | Y |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-24 | 2023-11-23 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-24 | 2023-11-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-23 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-24 | 2023-11-23 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-24 | 2023-11-23 | 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 | 2023-10-20 | 2023-11-19 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-20 | 2023-11-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-20 | 2023-11-19 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-20 | 2023-11-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-30 | 2022-10-30 | 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 | 2022-06-23 | 2022-07-22 | N |
Provide activities to meet all resident's needs. | Health | 2022-06-23 | 2022-07-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-23 | 2022-07-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-23 | 2022-07-22 | 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 | 2022-06-23 | 2022-07-22 | 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 | 2022-06-23 | 2022-07-22 | 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 | 2022-06-23 | 2022-07-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-07-22 | N |
Meet other general requirements. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-29 | 2022-07-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-13 | 2021-11-13 | 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 | 2021-05-27 | 2021-06-27 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-27 | 2021-06-27 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-27 | 2021-06-27 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-27 | 2021-06-27 | 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 | 2021-05-27 | 2021-06-27 | 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 | 2021-05-27 | 2021-06-27 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-05-27 | 2021-06-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-27 | 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 | 2021-05-27 | 2021-06-27 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-27 | 2021-06-27 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-05-27 | 2021-06-27 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-26 | 2021-06-27 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-26 | 2021-06-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-06-27 | N |
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