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Deficiency Records for Bridgetown Nursing and Rehabilitation Centre
A list of the most recent deficiencies for Bridgetown Nursing and Rehabilitation Centre. 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 Bridgetown Nursing and Rehabilitation Centre. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-16 | 2024-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-16 | 2024-05-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-19 | 2022-06-24 | N |
| 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 | 2022-05-19 | 2022-06-24 | 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 | 2022-05-19 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-18 | 2022-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-27 | 2022-03-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-27 | 2022-03-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-27 | 2022-03-04 | Y |
| 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 | 2022-01-14 | 2022-03-04 | Y |
| Have policies on smoking. | Health | 2022-01-14 | 2022-03-04 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-04-11 | 2019-05-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-11 | 2019-05-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-11 | 2019-05-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-11 | 2019-05-14 | 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 | 2019-04-11 | 2019-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-11 | 2019-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-11 | 2019-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-11 | 2019-05-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-11 | 2019-05-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-10 | 2019-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-05-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-10 | 2019-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-10 | 2019-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-10 | 2019-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-19 | 2018-05-25 | 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 | 2018-04-19 | 2018-05-25 | 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 | 2018-04-19 | 2018-05-25 | 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 | 2018-04-19 | 2018-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-04-16 | 2018-05-25 | N |
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