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Deficiency Records for Bear Mountain at Sudbury

A list of the most recent deficiencies for Bear Mountain at Sudbury. 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 Mountain at Sudbury. 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?
Prepare residents for a safe transfer or discharge from the nursing home. Health 2024-06-18 2024-07-26 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-18 2024-07-26 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-02 2023-12-18 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-11-02 2023-12-18 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-11-02 2023-12-18 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-02 2023-12-18 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-11-02 2023-12-18 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-11-02 2023-12-18 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 2023-11-02 2023-12-18 N
Ensure each resident receives an accurate assessment. Health 2023-11-02 2023-12-18 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-11-02 2023-12-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-02 2023-12-18 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-11-02 2023-12-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-02 2023-12-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-02 2023-12-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-02 2023-12-18 N
Provide enough food/fluids to maintain a resident's health. Health 2023-11-02 2023-12-18 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 2023-11-02 2023-12-18 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 2023-11-02 2023-12-18 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 2023-11-02 2023-12-18 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-02 2023-12-18 N
Ensure that residents are free from significant medication errors. Health 2023-11-02 2023-12-18 N
Implement emergency and standby power systems. Fire Safety 2023-11-14 2023-12-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-14 2023-12-06 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-08-09 2023-08-31 Y
Keep residents' personal and medical records private and confidential. Health 2023-06-13 2023-07-17 Y
Honor each resident's preferences, choices, values and beliefs. Health 2023-06-13 2023-07-17 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-04-14 2022-05-20 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 2022-04-14 2022-05-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-14 2022-05-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-14 2022-05-20 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 2022-04-14 2022-05-20 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-04-14 2022-05-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-14 2022-05-20 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 2022-04-14 2022-05-20 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 2022-04-14 2022-05-20 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-04-14 2022-05-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-14 2022-05-20 N
Provide and implement an infection prevention and control program. Health 2022-04-14 2022-05-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-30 2022-05-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-30 2022-05-20 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-20 2022-05-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-20 2022-05-19 N
Implement emergency and standby power systems. Fire Safety 2022-04-20 2022-05-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-20 2022-05-06 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-09-11 2019-10-26 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2019-09-11 2019-10-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-11 2019-10-26 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 2019-09-11 2019-10-26 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-11 2019-10-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-11 2019-10-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-09-11 2019-10-26 N
Observe each nurse aide's job performance and give regular training. Health 2019-09-11 2019-10-26 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 2019-09-11 2019-10-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-11 2019-10-26 N
Provide or get specialized rehabilitative services as required for a resident. Health 2019-09-11 2019-10-26 N

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