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Deficiency Records for Blue Mountain Care Center
A list of the most recent deficiencies for Blue Mountain Care 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 Blue Mountain Care 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-15 | 2024-10-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-15 | 2024-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-10-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-15 | 2024-10-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-15 | 2024-10-03 | 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 | 2024-08-15 | 2024-10-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-15 | 2024-10-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-15 | 2024-10-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-14 | 2024-10-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-14 | 2024-10-03 | 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 | 2024-08-14 | 2024-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-14 | 2024-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-14 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-10-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-14 | 2024-10-03 | 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 | 2023-05-18 | 2023-08-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-18 | 2023-08-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-18 | 2023-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-18 | 2023-06-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-18 | 2023-06-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-18 | 2023-06-28 | 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 | 2023-05-18 | 2023-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-18 | 2023-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-05-18 | 2023-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-28 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-29 | 2022-06-18 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2022-04-29 | 2022-06-18 | 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 | 2022-04-29 | 2022-06-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-29 | 2022-06-18 | 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 | 2022-04-29 | 2022-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-29 | 2022-06-18 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-04-29 | 2022-06-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-29 | 2022-06-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-29 | 2022-06-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-27 | 2022-06-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-27 | 2022-06-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-27 | 2022-06-18 | N |
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