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Deficiency Records for Wolfeboro Bay Center
A list of the most recent deficiencies for Wolfeboro Bay 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 Wolfeboro Bay 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-19 | 2024-03-08 | 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 | 2024-01-19 | 2024-03-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-19 | 2024-03-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-19 | 2024-03-04 | Y |
| 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 | 2024-01-19 | 2024-02-29 | 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 | 2024-01-19 | 2024-02-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-19 | 2024-02-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-19 | 2024-02-26 | 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 | 2024-01-19 | 2024-02-23 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-01-19 | 2024-02-20 | 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 | 2024-01-17 | 2024-01-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-01 | 2023-12-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-01 | 2023-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-18 | 2023-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-18 | 2023-08-28 | Y |
| 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 | 2023-07-18 | 2023-08-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-18 | 2023-07-26 | 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 | 2023-01-09 | 2023-03-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-09 | 2023-03-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-09 | 2023-03-03 | N |
| Keep all essential equipment working safely. | Health | 2023-01-09 | 2023-03-02 | N |
| 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 | 2023-01-09 | 2023-02-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-09 | 2023-02-16 | 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 | 2023-01-09 | 2023-02-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-09 | 2023-02-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-09 | 2023-01-11 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-22 | 2022-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-22 | 2022-08-03 | 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 | 2022-01-11 | 2022-03-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-01-11 | 2022-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-11 | 2022-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-11 | 2022-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-11 | 2022-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-11 | 2022-03-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-12 | 2022-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-12 | 2022-02-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-12 | 2022-02-25 | 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 | 2022-01-12 | 2022-02-25 | 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 | 2022-01-12 | 2022-02-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-12 | 2022-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-12 | 2022-02-25 | Y |
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