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Deficiency Records for Bentwood Nursing and Rehab
A list of the most recent deficiencies for Bentwood Nursing and Rehab. 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 Bentwood Nursing and Rehab. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-15 | 2024-06-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-15 | 2024-06-19 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-05-15 | 2024-06-19 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-05-15 | 2024-06-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-15 | 2024-06-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-15 | 2024-06-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-15 | 2024-06-19 | 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 | 2024-05-15 | 2024-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-15 | 2024-06-19 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-15 | 2024-06-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-05-15 | 2024-06-19 | 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 | 2024-05-15 | 2024-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-06-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-15 | 2024-06-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-15 | 2024-06-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-10 | 2024-06-19 | 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 | 2024-05-10 | 2024-06-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-05-10 | 2024-06-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-13 | 2024-03-06 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-02 | 2024-02-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-23 | 2024-02-28 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-07-18 | 2023-07-28 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-18 | 2023-07-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-20 | 2023-01-24 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-20 | 2023-01-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-01-24 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-20 | 2023-01-24 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-20 | 2023-01-24 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-06 | 2022-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-06 | 2022-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-06 | 2022-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-06-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-06 | 2022-06-29 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-05-06 | 2022-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-06 | 2022-06-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-06 | 2022-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-06 | 2022-06-15 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-06 | 2022-06-15 | N |
| 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-06-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-05-06 | 2022-06-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-06 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-06-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-05-06 | 2022-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-06 | 2022-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-06 | 2022-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-06 | 2022-06-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-06 | 2022-06-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-06 | 2022-06-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-06 | 2022-06-15 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-21 | 2020-01-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-21 | 2020-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2020-01-06 | N |
| 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 | 2019-11-21 | 2020-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2020-01-06 | 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 | 2019-11-21 | 2020-01-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-21 | 2020-01-06 | 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 | 2019-11-21 | 2020-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2020-01-06 | N |
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