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Deficiency Records for Baisch Nursing Center
A list of the most recent deficiencies for Baisch Nursing 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 Baisch Nursing 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? |
|---|---|---|---|---|
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-26 | 2024-04-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-26 | 2024-04-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-26 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-03-21 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-01-26 | 2024-03-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-26 | 2024-03-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-26 | 2024-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-26 | 2024-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-26 | 2024-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-26 | 2024-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-26 | 2024-03-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-26 | 2024-03-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-26 | 2024-03-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-26 | 2024-03-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-05 | 2023-02-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-05 | 2022-08-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-05 | 2022-08-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-05 | 2022-08-30 | 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 | 2022-08-05 | 2022-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-05 | 2022-08-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-05 | 2022-08-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-05 | 2022-08-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-05 | 2022-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-05 | 2022-08-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-05 | 2022-08-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-24 | 2020-02-28 | 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 | 2020-01-24 | 2020-02-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-24 | 2020-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-24 | 2020-02-28 | 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 | 2020-01-24 | 2020-02-28 | 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 | 2020-01-24 | 2020-02-28 | N |
| Post nurse staffing information every day. | Health | 2020-01-24 | 2020-02-28 | 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 | 2020-01-24 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-24 | 2020-02-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-24 | 2020-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-24 | 2020-02-28 | 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 | 2020-01-24 | 2020-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-24 | 2020-01-31 | N |
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