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Deficiency Records for Carriage Hill Bethesda
A list of the most recent deficiencies for Carriage Hill Bethesda. 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 Carriage Hill Bethesda. 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? |
---|---|---|---|---|
Post nurse staffing information every day. | Health | 2022-08-08 | 2022-11-14 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-08 | 2022-09-30 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-08 | 2022-09-30 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-08 | 2022-09-30 | 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 | 2022-08-08 | 2022-09-30 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-08-08 | 2022-09-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-08 | 2022-09-30 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-08 | 2022-09-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-08 | 2022-09-30 | 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 | 2022-08-08 | 2022-09-30 | Y |
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 | 2022-08-08 | 2022-09-30 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-08 | 2022-09-30 | Y |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-08 | 2022-09-30 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-08 | 2022-09-30 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-08 | 2022-09-30 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-08 | 2022-09-30 | Y |
Report COVID19 data to residents and families. | Health | 2022-08-08 | 2022-09-30 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-08-08 | 2022-09-30 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-08 | 2022-09-30 | Y |
Establish staff and initial training requirements. | Fire Safety | 2022-08-08 | 2022-09-30 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-14 | 2020-03-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-15 | 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 | 2020-02-14 | 2020-03-15 | 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 | 2020-02-14 | 2020-03-15 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2020-02-14 | 2020-03-15 | 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 | 2020-02-14 | 2020-03-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-14 | 2020-03-15 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-07 | 2019-01-31 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-07 | 2019-01-31 | 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 | 2019-01-07 | 2019-01-31 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-07 | 2019-01-31 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-07 | 2019-01-31 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-07 | 2019-01-31 | 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 | 2019-01-07 | 2019-01-31 | 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 | 2019-01-02 | 2019-01-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-01 | 2018-03-15 | 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 | 2018-02-01 | 2018-03-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-01 | 2018-03-15 | N |
Honor each resident's preferences, choices, values and beliefs. | Health | 2018-02-01 | 2018-03-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-01 | 2018-03-15 | 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 | 2018-02-01 | 2018-03-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-01 | 2018-03-15 | 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 | 2018-02-05 | 2018-03-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-05 | 2018-03-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-05 | 2018-03-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-05 | 2018-03-15 | N |
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