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Deficiency Records for Blaire House of Milford
A list of the most recent deficiencies for Blaire House of Milford. 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 Blaire House of Milford. 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 emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-21 | 2024-07-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-21 | 2024-07-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-21 | 2024-07-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-21 | 2024-07-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-02 | 2024-06-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-02 | 2024-06-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-02 | 2024-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-02 | 2024-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-02 | 2024-06-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-02 | 2024-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-06-07 | 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 | 2024-05-02 | 2024-06-07 | N |
| 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 | 2024-05-02 | 2024-06-07 | 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 | 2024-05-02 | 2024-06-07 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-05-02 | 2024-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-06-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-02 | 2024-06-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-02 | 2024-06-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-14 | 2024-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-19 | 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 | 2024-03-14 | 2024-04-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-23 | 2024-03-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-28 | 2023-12-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-28 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-11 | 2023-11-02 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-10-11 | 2023-11-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-02 | 2023-09-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-14 | 2023-03-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-14 | 2023-03-16 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-14 | 2023-03-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-14 | 2023-03-16 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-12-14 | 2023-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-14 | 2023-01-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-12-14 | 2023-01-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-14 | 2023-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-14 | 2023-01-20 | 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 | 2022-12-14 | 2023-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-14 | 2023-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-14 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-14 | 2023-01-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-14 | 2023-01-20 | 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 | 2022-12-14 | 2023-01-20 | N |
| 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 | 2022-12-14 | 2023-01-20 | 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 | 2022-12-14 | 2023-01-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-12-14 | 2023-01-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-12-14 | 2023-01-20 | N |
| Report COVID19 data to residents and families. | Health | 2022-12-14 | 2023-01-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-14 | 2023-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-08 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-12-13 | N |
| 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 | 2019-10-08 | 2019-12-13 | N |
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