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Deficiency Records for Birkwood Village of Fort Madison
A list of the most recent deficiencies for Birkwood Village of Fort Madison. 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 Birkwood Village of Fort Madison. 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 a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-06-26 | 2024-07-29 | 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 | 2024-06-26 | 2024-07-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-26 | 2024-07-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-06-26 | 2024-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-20 | 2024-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-20 | 2024-07-20 | 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 | 2024-06-20 | 2024-07-20 | 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 | 2024-06-20 | 2024-07-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-20 | 2024-07-20 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-20 | 2024-07-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-20 | 2024-07-20 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-06-20 | 2024-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-20 | 2024-07-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-20 | 2024-07-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-20 | 2024-07-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-20 | 2024-07-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-07-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-26 | 2024-07-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-26 | 2024-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-26 | 2024-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-26 | 2024-07-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-26 | 2024-07-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-26 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-07-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-01-22 | 2024-01-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-14 | 2023-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-14 | 2023-03-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-14 | 2023-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-14 | 2023-03-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-14 | 2023-03-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-14 | 2023-03-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-14 | 2023-03-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-14 | 2023-03-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-14 | 2023-03-27 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-08 | 2023-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-17 | 2022-12-16 | 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 | 2022-11-17 | 2022-12-16 | Y |
| 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 | 2021-05-20 | 2021-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-20 | 2021-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-20 | 2021-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-06-09 | 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 | 2021-05-20 | 2021-06-09 | 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 | 2021-05-20 | 2021-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-24 | 2021-06-08 | N |
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