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Deficiency Records for Birchwood Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Birchwood Rehabilitation and 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 Birchwood Rehabilitation and 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-06 | 2024-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-06 | 2024-09-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-06 | 2024-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-06 | 2024-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-08-30 | 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 | 2024-08-06 | 2024-08-27 | 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 | 2022-08-04 | 2022-09-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-08-04 | 2022-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-04 | 2022-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-04 | 2022-09-03 | 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 | 2022-08-04 | 2022-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-04 | 2022-09-03 | 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 | 2022-08-04 | 2022-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-04 | 2022-09-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-13 | 2020-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-13 | 2020-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-13 | 2020-11-02 | N |
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