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Deficiency Records for Bryan County Hlth and Rehab Ctr
A list of the most recent deficiencies for Bryan County Hlth and Rehab Ctr. 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 Bryan County Hlth and Rehab Ctr. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-15 | 2022-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-15 | 2022-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-15 | 2022-10-30 | 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 | 2022-09-15 | 2022-10-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-15 | 2022-10-30 | 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 | 2022-09-15 | 2022-10-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Establish methods for sharing information. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-13 | 2022-10-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-26 | 2019-06-10 | 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 | 2019-04-26 | 2019-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-26 | 2019-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-24 | 2019-06-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-28 | 2018-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-28 | 2018-08-12 | 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 | 2018-06-28 | 2018-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-28 | 2018-08-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-03 | 2018-08-12 | N |
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