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Deficiency Records for The Haven of Bement.
A list of the most recent deficiencies for The Haven of Bement.. 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 Haven of Bement.. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-11 | 2025-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-11 | 2025-01-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-11 | 2025-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-11 | 2025-01-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-11 | 2025-01-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-11 | 2025-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-11 | 2025-01-06 | 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 | 2024-12-12 | 2025-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-12 | 2025-01-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-12-12 | 2025-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-12 | 2025-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-12 | 2025-01-02 | 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 | 2024-12-12 | 2025-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-12 | 2025-01-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-12-12 | 2025-01-02 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-12-12 | 2025-01-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-12 | 2025-01-02 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-12-12 | 2025-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-12 | 2025-01-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-12-12 | 2025-01-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-12 | 2025-01-02 | 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 | 2024-12-12 | 2024-12-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-09 | 2024-09-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-27 | 2024-07-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-27 | 2024-07-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-19 | 2024-04-11 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-19 | 2024-04-11 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-03-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-30 | 2024-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-30 | 2024-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-02-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-30 | 2024-02-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-30 | 2024-02-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-10 | 2024-02-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-10 | 2024-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-01 | 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 | 2024-01-10 | 2024-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-02-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-01-10 | 2024-02-01 | 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 | 2024-01-10 | 2024-02-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-10 | 2024-02-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-10 | 2024-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-10 | 2024-02-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-10 | 2024-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-05 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-05 | 2023-04-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-31 | 2023-04-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-31 | 2023-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-31 | 2023-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-31 | 2023-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-04-20 | 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 | 2023-03-31 | 2023-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-31 | 2023-04-20 | 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 | 2023-03-31 | 2023-04-20 | 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 | 2023-03-31 | 2023-04-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-31 | 2023-04-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-31 | 2023-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-31 | 2023-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-08-12 | Y |
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