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Deficiency Records for Bedrock Rehabilitation and Nursing Center at Islan
A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Islan. 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 Bedrock Rehabilitation and Nursing Center at Islan. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-17 | 2025-02-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-01-17 | 2025-02-17 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-01-17 | 2025-02-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-17 | 2025-02-17 | 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 | 2025-01-17 | 2025-02-17 | 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 | 2025-01-17 | 2025-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-17 | 2025-02-17 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-17 | 2025-02-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-01-17 | 2025-02-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-01-17 | 2025-02-17 | 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 | 2025-01-17 | 2025-02-17 | 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 | 2025-01-17 | 2025-02-17 | N |
| Dispose of garbage and refuse properly. | Health | 2025-01-17 | 2025-02-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-17 | 2025-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-17 | 2025-02-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-15 | 2025-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-28 | 2024-04-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-13 | 2024-03-13 | 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 | 2023-05-19 | 2023-06-26 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-05-19 | 2023-06-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-26 | Y |
| 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 | 2023-05-19 | 2023-06-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-19 | 2023-06-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-19 | 2023-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-19 | 2023-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-06-26 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-19 | 2023-06-26 | N |
| Keep all essential equipment working safely. | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-06-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-16 | 2023-06-26 | 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 | 2022-11-30 | 2022-12-13 | Y |
| 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 | 2022-11-30 | 2022-12-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-26 | 2022-11-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-26 | 2022-11-17 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2022-08-11 | 2022-09-12 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-08-11 | 2022-09-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-11 | 2022-09-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-11 | 2022-09-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-28 | 2022-05-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-28 | 2022-05-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-28 | 2022-05-28 | Y |
| 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 | 2022-04-28 | 2022-05-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-28 | 2022-05-28 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-04-28 | 2022-05-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-28 | 2022-05-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-28 | 2022-05-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-28 | 2022-05-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-28 | 2022-05-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-17 | 2021-07-17 | 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 | 2021-06-17 | 2021-07-17 | 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 | 2021-06-17 | 2021-07-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-17 | 2021-07-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-17 | 2021-07-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-17 | 2021-07-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-16 | 2021-07-17 | 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 | 2021-06-16 | 2021-07-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-06-16 | 2021-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-16 | 2021-07-17 | N |
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