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Deficiency Records for Majestic Care of Bedford

A list of the most recent deficiencies for Majestic Care of Bedford. 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 Majestic Care of Bedford. 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 2024-07-01 2024-08-09 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-07-01 2024-07-26 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2024-07-01 2024-07-26 N
Develop a communication plan. Fire Safety 2024-07-01 2024-07-26 N
Establish emergency prep training and testing. Fire Safety 2024-07-01 2024-07-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-01 2024-07-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-06-13 2024-07-12 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 2024-06-13 2024-07-12 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-06-13 2024-07-12 N
Ensure each resident receives an accurate assessment. Health 2024-06-13 2024-07-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-13 2024-07-12 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 2024-06-13 2024-07-12 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 2024-06-13 2024-07-12 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-06-13 2024-07-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-26 2023-11-10 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-26 2023-11-10 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-10 2023-07-24 N
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-06-12 2023-07-14 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 2023-06-12 2023-07-12 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 2023-07-10 2023-07-10 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-12 2023-06-28 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 2023-06-12 2023-06-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-16 2023-03-17 Y
Establish staff and initial training requirements. Fire Safety 2022-04-26 2022-06-03 N
Implement emergency and standby power systems. Fire Safety 2022-04-26 2022-06-03 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-26 2022-06-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-04-26 2022-06-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-04-26 2022-06-03 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 2022-04-26 2022-06-03 N
Provide properly protected cooking facilities. Fire Safety 2022-04-26 2022-06-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-04-26 2022-06-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-04-26 2022-06-03 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-26 2022-06-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-26 2022-06-03 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2022-04-26 2022-06-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-26 2022-06-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-04-26 2022-06-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-04-26 2022-06-03 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-04-26 2022-06-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-26 2022-06-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-26 2022-06-03 N

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