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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 | 2024-07-18 | 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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