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Deficiency Records for Bedrock Rehabilitation and Nursing Center at Wedge
A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Wedge. 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 Wedge. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-12-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-07 | 2022-12-29 | 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 | 2022-10-20 | 2022-11-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-20 | 2022-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-20 | 2022-11-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-20 | 2022-11-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-20 | 2022-11-20 | 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 | 2022-10-20 | 2022-11-20 | 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 | 2022-08-09 | 2022-08-31 | Y |
| Post nurse staffing information every day. | Health | 2022-08-09 | 2022-08-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-23 | 2021-05-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-04-23 | 2021-05-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-30 | 2019-06-28 | 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 | 2019-05-30 | 2019-06-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-30 | 2019-06-28 | 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 | 2019-05-30 | 2019-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-30 | 2019-06-28 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-05-30 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-30 | 2019-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
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