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Deficiency Records for Goldwater Care Bloomington
A list of the most recent deficiencies for Goldwater Care Bloomington. 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 Goldwater Care Bloomington. 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 | 2024-09-11 | 2024-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-19 | 2024-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-03 | 2024-07-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-03 | 2024-07-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-03 | 2024-07-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-03 | 2024-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-21 | 2024-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-21 | 2024-06-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-15 | 2024-05-09 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-04-15 | 2024-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-07 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-07 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-28 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-23 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-02 | 2024-03-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-23 | 2024-02-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-02-29 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-23 | 2024-02-29 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-23 | 2024-02-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-02-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-02 | 2024-02-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-02 | 2024-02-29 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-02 | 2024-02-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-02 | 2024-02-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-23 | 2024-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-23 | 2024-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-23 | 2024-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-28 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-01-23 | 2024-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-23 | 2024-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-02 | 2024-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-02 | 2024-02-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-02-02 | 2024-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-02 | 2024-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-02 | 2024-02-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-02 | 2024-02-28 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-02-02 | 2024-02-28 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-02 | 2024-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-02 | 2024-02-28 | Y |
| 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 | 2024-02-02 | 2024-02-28 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-06 | 2024-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-13 | 2023-10-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-13 | 2023-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-23 | 2023-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-11 | 2023-08-15 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-11 | 2023-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-07 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-07 | 2023-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-14 | 2023-06-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-13 | 2023-03-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-13 | 2023-03-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-24 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-24 | 2023-02-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-24 | 2023-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-24 | 2023-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-24 | 2023-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-24 | 2023-02-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-24 | 2023-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-24 | 2023-02-13 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-24 | 2023-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-24 | 2023-02-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-24 | 2023-02-13 | 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 | 2023-01-24 | 2023-02-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-24 | 2023-02-13 | 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 | 2023-01-24 | 2023-02-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-01-24 | 2023-02-13 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-01-24 | 2023-02-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-10-03 | 2022-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-03 | 2022-10-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-03 | 2022-10-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-10-03 | 2022-10-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-03 | 2022-10-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-03 | 2022-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-03 | 2022-10-21 | Y |
| 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 | 2022-10-03 | 2022-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-10-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-29 | 2022-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-28 | 2022-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-09 | 2022-04-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-23 | 2022-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-23 | 2022-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-20 | 2022-01-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-20 | 2022-01-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-20 | 2022-01-07 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-20 | 2022-01-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-15 | 2021-11-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-10-15 | 2021-11-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-10-15 | 2021-11-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-15 | 2021-11-05 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-10-06 | 2021-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-06 | 2021-10-27 | 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 | 2021-10-06 | 2021-10-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2021-10-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-06 | 2021-10-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-10-06 | 2021-10-27 | 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 | 2021-10-06 | 2021-10-27 | 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 | 2021-10-06 | 2021-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-10-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-06 | 2021-10-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-10-15 | 2021-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-15 | 2021-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
| 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 | 2021-10-15 | 2021-10-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-15 | 2021-10-18 | 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 | 2021-10-15 | 2021-10-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-15 | 2021-10-18 | N |
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