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Deficiency Records for Bridgeville Rehabilitation and Care Center
A list of the most recent deficiencies for Bridgeville Rehabilitation and 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 Bridgeville Rehabilitation and 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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-08-23 | 2024-09-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-23 | 2024-09-25 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-23 | 2024-09-25 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-23 | 2024-09-25 | 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 | 2024-08-23 | 2024-09-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-23 | 2024-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-23 | 2024-09-25 | 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 | 2024-08-23 | 2024-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-23 | 2024-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-23 | 2024-09-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-23 | 2024-09-25 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-08-23 | 2024-09-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-23 | 2024-09-25 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-08-23 | 2024-09-25 | N |
| Provide training in compliance and ethics. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-23 | 2024-09-25 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-08-23 | 2024-09-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-09-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-14 | 2024-09-11 | 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 | 2024-04-30 | 2024-06-05 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-02-21 | 2024-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-04-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-14 | 2023-12-14 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-14 | 2023-12-14 | Y |
| 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 | 2023-08-02 | 2023-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-02 | 2023-10-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-29 | 2023-10-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Meet other general requirements. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-21 | 2023-08-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-21 | 2023-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-21 | 2023-08-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-21 | 2023-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-08-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-17 | 2023-06-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-02 | 2023-03-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-06 | 2022-11-21 | N |
| 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 | 2022-10-06 | 2022-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-11-21 | 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 | 2022-10-06 | 2022-11-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-06 | 2022-11-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-10-06 | 2022-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-11-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-06 | 2022-11-21 | 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 | 2022-10-06 | 2022-11-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-06 | 2022-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2022-11-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-06 | 2022-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-06 | 2022-11-05 | N |
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