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Deficiency Records for Bear Lake Memorial Skilled Nursing Facility

A list of the most recent deficiencies for Bear Lake Memorial Skilled Nursing Facility. 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 Bear Lake Memorial Skilled Nursing Facility. 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-10-03 2024-10-23 N
Implement a program that monitors antibiotic use. Health 2024-10-03 2024-10-23 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-04-03 2024-04-24 N
Create arrangements with other facilities to receive patients. Fire Safety 2024-04-03 2024-04-24 N
Conduct testing and exercise requirements. Fire Safety 2024-04-03 2024-04-24 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-04-03 2024-04-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-03 2024-04-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-03 2024-04-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-04-03 2024-04-24 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-04-03 2024-04-24 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2019-06-20 2019-07-31 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-06-20 2019-07-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-20 2019-07-31 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 2019-06-20 2019-07-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-06-20 2019-07-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-06-20 2019-07-31 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 2019-06-20 2019-07-31 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2018-10-02 2018-12-05 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-10-02 2018-12-05 N
List the names and contact information of those in the facility. Fire Safety 2018-10-02 2018-12-05 N
Provide emergency officials' contact information. Fire Safety 2018-10-02 2018-12-05 N
Provide family notifications of emergency plan. Fire Safety 2018-10-02 2018-12-05 N
Establish emergency prep training and testing. Fire Safety 2018-10-02 2018-12-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-10-02 2018-12-05 N
Have proper medical gas storage and administration areas. Fire Safety 2018-10-02 2018-12-05 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2018-10-02 2018-12-05 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2018-01-26 2018-03-21 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2018-01-26 2018-03-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-01-26 2018-03-21 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 2018-01-26 2018-03-21 N
Provide enough food/fluids to maintain a resident's health. Health 2018-01-26 2018-03-21 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2018-01-26 2018-03-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-01-26 2018-03-21 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 2018-01-26 2018-03-21 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-01-26 2018-03-21 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 2018-01-26 2018-03-21 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2018-01-26 2018-03-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-01-26 2018-03-21 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 2018-01-26 2018-03-21 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-01-26 2018-03-21 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2018-01-26 2018-03-21 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2018-01-26 2018-03-21 N
Use approved construction type or materials. Fire Safety 2017-07-07 2017-08-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2017-07-07 2017-08-16 N
Provide properly protected cooking facilities. Fire Safety 2017-07-07 2017-08-16 N

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