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Deficiency Records for The British Home

A list of the most recent deficiencies for The British Home. 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 The British Home. 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?
Have proper power supply for life support equipment. Fire Safety 2024-04-04 2024-05-07 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-04-04 2024-05-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-04 2024-04-25 N
Address subsistence needs for staff and patients. Fire Safety 2024-04-04 2024-04-16 N
Establish emergency prep training and testing. Fire Safety 2024-04-04 2024-04-16 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 2024-04-04 2024-04-16 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-04-04 2024-04-16 N
Provide a written emergency evacuation plan. Fire Safety 2024-04-04 2024-04-16 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-04-04 2024-04-16 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-04-04 2024-04-16 N
Have proper medical gas storage and administration areas. Fire Safety 2024-04-04 2024-04-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-04-04 2024-04-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-15 2024-04-05 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-03-15 2024-04-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-15 2024-04-05 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 2024-03-15 2024-04-05 N
Provide and implement an infection prevention and control program. Health 2024-03-15 2024-04-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-03 2023-10-06 Y
Establish policies and procedures for sheltering. Fire Safety 2023-04-13 2023-05-01 N
Establish policies and procedures for volunteers. Fire Safety 2023-04-13 2023-05-01 N
Establish staff and initial training requirements. Fire Safety 2023-04-13 2023-05-01 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 2023-04-13 2023-05-01 N
Install an approved automatic sprinkler system. Fire Safety 2023-04-13 2023-05-01 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2023-04-13 2023-05-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-04-13 2023-05-01 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-13 2023-05-01 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-04-13 2023-05-01 N
Address subsistence needs for staff and patients. Fire Safety 2023-04-13 2023-04-27 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-07 2023-04-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-07 2023-04-19 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-07 2023-04-19 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 2023-04-07 2023-04-19 N
Provide and implement an infection prevention and control program. Health 2023-04-07 2023-04-19 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-04-07 2023-04-19 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-04-07 2023-04-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-27 2022-11-11 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-09 2022-11-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-02-08 2022-04-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-08 2022-04-18 N
Establish staff and initial training requirements. Fire Safety 2022-02-09 2022-04-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-09 2022-04-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-02-09 2022-04-01 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-02-08 2022-03-30 N
Ensure that residents are free from significant medication errors. Health 2022-03-08 2022-03-25 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-03-08 2022-03-11 Y
Establish policies and procedures for medical documentation. Fire Safety 2022-02-09 2022-02-14 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-02-09 2022-02-10 N
Address subsistence needs for staff and patients. Fire Safety 2022-02-09 2022-02-10 N

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