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Deficiency Records for Pinnacle Health and Rehab at N Berwick
A list of the most recent deficiencies for Pinnacle Health and Rehab at N Berwick. 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 Pinnacle Health and Rehab at N Berwick. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-29 | 2024-12-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-30 | 2024-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-30 | 2024-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-30 | 2024-11-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-30 | 2024-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-30 | 2024-11-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-29 | 2024-11-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-10-29 | 2024-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-29 | 2024-11-13 | 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 | 2024-10-29 | 2024-11-08 | 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 | 2024-10-29 | 2024-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-29 | 2024-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-29 | 2024-11-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-29 | 2024-10-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-29 | 2024-10-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-10-29 | 2024-10-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-22 | 2023-10-13 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-23 | 2023-09-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-23 | 2023-09-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-23 | 2023-09-29 | 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 | 2023-08-23 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-23 | 2023-09-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-23 | 2023-09-29 | 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 | 2023-01-03 | 2023-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-03 | 2023-02-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-07-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-04 | 2021-06-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-05-06 | 2021-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-06-19 | 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 | 2021-05-06 | 2021-06-19 | 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 | 2021-05-06 | 2021-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-06-19 | N |
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