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Deficiency Records for Skld West Bloomfield
A list of the most recent deficiencies for Skld West Bloomfield. 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 Skld West Bloomfield. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-13 | 2024-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-01-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-19 | 2023-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-19 | 2023-11-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-19 | 2023-11-09 | 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 | 2023-10-19 | 2023-11-09 | 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 | 2023-10-19 | 2023-11-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-19 | 2023-11-09 | Y |
| 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 | 2023-10-19 | 2023-11-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-19 | 2023-11-09 | Y |
| 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 | 2023-10-19 | 2023-11-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-09 | Y |
| 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 | 2023-10-19 | 2023-11-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-19 | 2023-11-09 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-10-19 | 2023-11-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-19 | 2023-11-09 | 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 | 2023-10-19 | 2023-11-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-19 | 2023-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-19 | 2023-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-19 | 2023-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-01 | 2023-02-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-27 | 2023-01-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2023-01-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-03 | 2023-01-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-03 | 2022-12-08 | 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 | 2022-11-03 | 2022-12-08 | 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 | 2022-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-12-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-03 | 2022-12-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-03 | 2022-12-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-03 | 2022-12-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-03 | 2022-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-12-08 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-03 | 2022-12-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-03 | 2022-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-08 | Y |
| 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 | 2022-11-03 | 2022-12-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-03 | 2022-12-08 | Y |
| Post nurse staffing information every day. | Health | 2022-11-03 | 2022-12-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-03 | 2022-12-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-03 | 2022-12-08 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-11-03 | 2022-12-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-08 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-11-03 | 2022-12-08 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-03 | 2022-12-08 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-11-03 | 2022-12-08 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-01 | 2022-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-05-02 | Y |
| 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 | 2022-04-06 | 2022-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-06 | 2022-05-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-06 | 2022-05-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-06 | 2022-05-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-06 | 2022-05-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-06 | 2022-05-02 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-15 | 2021-08-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-15 | 2021-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-15 | 2021-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-15 | 2021-08-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-15 | 2021-08-16 | N |
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