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Deficiency Records for Bethesda Southgate
A list of the most recent deficiencies for Bethesda Southgate. 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 Bethesda Southgate. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-18 | 2024-08-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-18 | 2024-08-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-18 | 2024-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-18 | 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 | 2024-07-09 | 2024-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-09 | 2024-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-09 | 2024-07-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-09 | 2024-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-09 | 2024-07-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-09 | 2024-07-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-07-09 | 2024-07-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-09 | 2024-07-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-09 | 2024-07-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-10 | 2022-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-10 | 2022-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-03 | 2022-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-09-25 | 2019-10-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-09-25 | 2019-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-25 | 2019-10-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-25 | 2019-10-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-25 | 2019-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-25 | 2019-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-25 | 2019-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-25 | 2019-10-30 | N |
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