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Deficiency Records for Bloomfield Nursing and Rehabilitation Center
A list of the most recent deficiencies for Bloomfield Nursing and Rehabilitation 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 Bloomfield Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2024-09-19 | 2024-11-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-19 | 2024-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-11-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-19 | 2024-11-05 | 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 | 2024-09-19 | 2024-11-05 | 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 | 2024-09-19 | 2024-11-05 | N |
| Provide or obtain dental services for each resident. | Health | 2024-09-19 | 2024-11-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-19 | 2024-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-11-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-09-19 | 2024-11-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-18 | 2024-11-05 | 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 | 2024-09-18 | 2024-11-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-18 | 2024-11-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-18 | 2024-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-18 | 2024-11-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-09 | 2024-03-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-09 | 2024-03-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-12 | 2023-10-30 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-10-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-12 | 2023-10-30 | Y |
| 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 | 2023-07-20 | 2023-10-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-20 | 2023-10-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-20 | 2023-10-03 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-20 | 2023-10-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-07-20 | 2023-10-03 | 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 | 2023-07-20 | 2023-10-03 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-20 | 2023-10-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-20 | 2023-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-10-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-20 | 2023-10-03 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-07-20 | 2023-10-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-18 | 2023-08-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-14 | 2022-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-31 | 2022-05-11 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-31 | 2022-05-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-31 | 2022-05-11 | Y |
| 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 | 2022-03-31 | 2022-05-11 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-03-31 | 2022-05-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-31 | 2022-05-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-31 | 2022-05-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-31 | 2022-05-11 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-03-31 | 2022-05-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-05-11 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-03-31 | 2022-05-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-05-11 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-03-31 | 2022-05-11 | Y |
| Report COVID19 data to residents and families. | Health | 2022-03-31 | 2022-05-11 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-29 | 2022-05-06 | N |
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