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Deficiency Records for Baptist Village of Oklahoma City
A list of the most recent deficiencies for Baptist Village of Oklahoma City. 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 Baptist Village of Oklahoma City. 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 smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-20 | 2024-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-20 | 2024-09-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-20 | 2024-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-19 | 2024-08-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-19 | 2024-08-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-19 | 2024-08-29 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-07-19 | 2024-08-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-19 | 2024-08-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-07-19 | 2024-08-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-19 | 2024-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-19 | 2024-08-29 | 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 | 2024-07-19 | 2024-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-08-29 | 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 | 2024-07-19 | 2024-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-19 | 2024-08-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-08-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-19 | 2024-08-29 | N |
| Post nurse staffing information every day. | Health | 2024-07-19 | 2024-08-29 | 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 | 2024-07-19 | 2024-08-29 | 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 | 2024-07-19 | 2024-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-07-19 | 2024-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-19 | 2024-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-27 | 2023-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2023-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-27 | 2023-12-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-26 | 2022-12-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-19 | 2020-01-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-19 | 2020-01-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-19 | 2020-01-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-12-19 | 2020-01-24 | N |
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