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Deficiency Records for Bedford Specialty Care
A list of the most recent deficiencies for Bedford Specialty Care. 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 Bedford Specialty Care. 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 posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-06 | 2024-05-23 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-02 | 2024-05-17 | 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 | 2024-05-02 | 2024-05-17 | N |
Assess the resident when there is a significant change in condition | Health | 2024-05-02 | 2024-05-17 | 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 | 2024-05-02 | 2024-05-17 | N |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-05-02 | 2024-05-17 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-05-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-06 | 2024-05-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-06 | 2024-05-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-06 | 2024-05-16 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-06 | 2024-05-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-05-14 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-06 | 2024-05-14 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-06 | 2024-05-14 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-06 | 2024-05-06 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-04-02 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-14 | 2024-04-02 | Y |
Respond appropriately to all alleged violations. | Health | 2024-03-14 | 2024-04-02 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-02 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-04-02 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-08 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-08 | 2023-01-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-08 | 2023-01-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-08 | 2023-01-08 | Y |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-14 | 2022-12-21 | N |
Have an externally vented heating system. | Fire Safety | 2022-12-14 | 2022-12-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-14 | 2022-12-21 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-14 | 2022-12-16 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-16 | 2021-09-02 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-16 | 2021-09-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-01 | 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 | 2021-08-12 | 2021-09-01 | 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 | 2021-08-16 | 2021-08-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-16 | 2021-08-26 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-16 | 2021-08-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-16 | 2021-08-20 | N |
Use approved construction type or materials. | Fire Safety | 2021-08-16 | 2021-08-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-16 | 2021-08-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-16 | 2021-08-17 | N |
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