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Deficiency Records for Boro Park Center For Rehabilitation and Healthcare
A list of the most recent deficiencies for Boro Park Center For Rehabilitation and Healthcare. 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 Boro Park Center For Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-06 | 2024-06-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-06 | 2024-06-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-06 | 2024-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-06 | 2024-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-06 | 2024-06-17 | 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 | 2024-05-06 | 2024-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-06 | 2024-06-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-21 | 2022-06-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-21 | 2022-06-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-21 | 2022-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-06-03 | 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 | 2022-04-21 | 2022-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-21 | 2022-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-21 | 2022-06-03 | 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 | 2022-04-21 | 2022-06-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-21 | 2022-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-06-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-21 | 2022-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-06-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-04-21 | 2022-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-21 | 2022-05-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-21 | 2022-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-21 | 2022-05-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-04-21 | 2022-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-21 | 2022-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-02 | 2022-03-18 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2019-07-26 | 2019-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-26 | 2019-09-20 | 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 | 2019-07-26 | 2019-09-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-26 | 2019-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-26 | 2019-09-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-07-26 | 2019-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-26 | 2019-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-26 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-09-15 | N |
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