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Deficiency Records for Baldwin Healthcare and Rehab Center, LLC

A list of the most recent deficiencies for Baldwin Healthcare and Rehab Center, LLC. 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 Baldwin Healthcare and Rehab Center, LLC. 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 2024-07-09 2024-08-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-09 2024-08-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-09 2024-08-06 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-09 2024-08-02 N
Use approved construction type or materials. Fire Safety 2024-07-09 2024-07-24 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 2024-07-09 2024-07-24 N
Provide properly protected cooking facilities. Fire Safety 2024-07-09 2024-07-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-09 2024-07-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-07-09 2024-07-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-09 2024-07-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-09 2024-07-24 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-09 2024-07-24 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-12 2024-06-28 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-12 2024-06-28 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-06-12 2024-06-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-12 2024-06-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-12 2024-06-28 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-06-12 2024-06-28 Y
Post nurse staffing information every day. Health 2024-06-12 2024-06-28 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-06-12 2024-06-28 Y
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 2024-06-12 2024-06-28 Y
Provide and implement an infection prevention and control program. Health 2024-06-12 2024-06-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-14 2023-03-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-10-24 2022-11-11 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-10-24 2022-11-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-24 2022-11-11 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-10-05 2022-11-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-05 2022-11-11 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-10-05 2022-11-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-05 2022-11-11 N
Provide and implement an infection prevention and control program. Health 2022-10-05 2022-11-11 N
Use approved construction type or materials. Fire Safety 2022-11-02 2022-11-08 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 2022-11-02 2022-11-08 N
Provide properly protected cooking facilities. Fire Safety 2022-11-02 2022-11-08 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2022-11-02 2022-11-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-02 2022-11-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-02 2022-11-08 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-11-02 2022-11-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-11-02 2022-11-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-02 2022-11-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-02 2022-11-08 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 2022-08-29 2022-09-16 Y
Provide and implement an infection prevention and control program. Health 2022-08-29 2022-09-16 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-22 2021-07-22 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-06-22 2021-07-22 N
Install proper backup exit lighting. Fire Safety 2021-06-22 2021-07-22 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 2021-06-22 2021-07-22 N
Provide properly protected cooking facilities. Fire Safety 2021-06-22 2021-07-22 N
Have an alternate power supply for its alarm system. Fire Safety 2021-06-22 2021-07-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-22 2021-07-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-22 2021-07-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-06-22 2021-07-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-06-22 2021-07-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-22 2021-07-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-06-22 2021-07-22 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-22 2021-07-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-22 2021-07-22 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-22 2021-07-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-13 2021-06-25 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 2021-05-13 2021-06-25 N
Ensure each resident receives an accurate assessment. Health 2021-05-13 2021-06-25 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-05-13 2021-06-25 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-05-13 2021-06-25 N

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