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Deficiency Records for Birch Healthcare Center
A list of the most recent deficiencies for Birch Healthcare 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 Birch Healthcare 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? |
|---|---|---|---|---|
| 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 | 2024-08-27 | 2024-09-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-27 | 2024-09-26 | 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 | 2024-08-27 | 2024-09-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-27 | 2024-09-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-27 | 2024-09-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-27 | 2024-09-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-27 | 2024-09-26 | 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 | 2024-08-29 | 2024-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-16 | 2024-05-08 | Y |
| 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 | 2023-07-24 | 2023-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-24 | 2023-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-24 | 2023-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-24 | 2023-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-24 | 2023-08-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-26 | 2023-08-16 | 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 | 2023-07-26 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-26 | 2023-08-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-26 | 2023-08-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-08 | 2023-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-08 | 2023-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-08 | 2023-02-25 | 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 | 2023-02-06 | 2023-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-06 | 2023-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-06 | 2023-02-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-16 | 2022-10-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-16 | 2022-10-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-16 | 2022-10-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-16 | 2022-10-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-10-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-16 | 2022-10-01 | Y |
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