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Deficiency Records for Bay Path at Duxbury Nursing and Rehabilitation Ctr

A list of the most recent deficiencies for Bay Path at Duxbury Nursing and Rehabilitation 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 Bay Path at Duxbury Nursing and Rehabilitation 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?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-07-15 2024-08-29 N
Ensure each resident receives an accurate assessment. Health 2024-07-09 2024-07-24 N
Provide and implement an infection prevention and control program. Health 2024-07-09 2024-07-24 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 2023-05-24 2023-07-08 N
Provide properly protected cooking facilities. Fire Safety 2023-05-24 2023-07-08 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-24 2023-07-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-24 2023-07-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-24 2023-07-08 N
Provide a written emergency evacuation plan. Fire Safety 2023-05-24 2023-07-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-24 2023-07-08 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-05-17 2023-06-30 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-05-17 2023-06-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-24 2023-06-10 N
Implement emergency and standby power systems. Fire Safety 2023-05-24 2023-06-05 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-05-24 2023-06-05 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-24 2023-06-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-24 2023-06-02 N
Have an enclosure around a vertical opening shaft. Fire Safety 2020-01-21 2020-02-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-21 2020-02-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-01-21 2020-02-28 N
Ensure each resident receives an accurate assessment. Health 2019-11-14 2019-12-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-11-14 2019-12-20 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2019-11-14 2019-12-20 N
Ensure medication error rates are not 5 percent or greater. Health 2019-11-14 2019-12-20 N

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