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Deficiency Records for Bear Hill Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Bear Hill Healthcare and Rehabilitation Center. 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 Bear Hill Healthcare and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-14 | 2024-01-23 | 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 | 2023-12-14 | 2024-01-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-14 | 2024-01-11 | 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 | 2023-12-14 | 2024-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-14 | 2024-01-11 | 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 | 2023-12-14 | 2024-01-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-14 | 2024-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-21 | 2022-11-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-21 | 2022-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-21 | 2022-11-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-21 | 2022-11-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-21 | 2022-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-11-28 | 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 | 2022-10-21 | 2022-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-21 | 2022-11-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-21 | 2022-11-28 | 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 | 2022-10-21 | 2022-11-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-21 | 2022-11-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-21 | 2022-11-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-07 | 2022-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-07 | 2022-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-10-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-03-08 | 2022-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-08 | 2022-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-01-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-09 | 2020-02-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-09 | 2020-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-09 | 2020-01-31 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-01-09 | 2020-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-09 | 2020-01-31 | N |
| Keep all essential equipment working safely. | Health | 2020-01-09 | 2020-01-31 | N |
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