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Deficiency Records for Blueberry Hill Rehabilitation and Healthcare Ctr
A list of the most recent deficiencies for Blueberry Hill Rehabilitation and Healthcare Ctr. 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 Blueberry Hill Rehabilitation and Healthcare Ctr. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-23 | 2024-02-12 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-26 | 2023-12-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-12-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-12-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-26 | 2023-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-26 | 2023-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-26 | 2023-12-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-26 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-12-11 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-10-26 | 2023-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-12-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-26 | 2023-12-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-11-09 | 2023-11-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-16 | 2023-04-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-01 | 2023-03-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-01 | 2023-03-10 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-17 | 2022-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-12-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-03 | 2022-12-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-12-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-03 | 2022-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2022-12-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-03 | 2022-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-12-12 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-03 | 2022-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-03 | 2022-12-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-03 | 2022-12-12 | 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 | 2022-11-03 | 2022-12-12 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-03 | 2022-12-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-03 | 2022-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-10-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-02 | 2020-10-08 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-02 | 2020-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-02 | 2020-10-08 | 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 | 2020-03-02 | 2020-10-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-02 | 2020-10-08 | 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 | 2020-03-02 | 2020-10-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-02 | 2020-10-08 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-03-02 | 2020-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-02 | 2020-10-08 | N |
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