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Deficiency Records for Burgh Care Center
A list of the most recent deficiencies for Burgh 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 Burgh 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-21 | 2024-07-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-21 | 2024-07-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-06-21 | 2024-07-11 | 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 | 2024-05-24 | 2024-07-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-24 | 2024-07-09 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-24 | 2024-07-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-24 | 2024-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-24 | 2024-07-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-24 | 2024-07-09 | 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 | 2024-05-24 | 2024-07-09 | 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 | 2024-05-24 | 2024-07-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-24 | 2024-07-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-24 | 2024-07-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-24 | 2024-07-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-24 | 2024-07-09 | 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 | 2024-05-24 | 2024-07-09 | 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 | 2024-05-24 | 2024-07-09 | 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 | 2024-05-24 | 2024-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-24 | 2024-07-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-24 | 2024-07-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-05-24 | 2024-07-09 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-05-21 | 2024-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-21 | 2024-06-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-21 | 2024-06-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-21 | 2024-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-19 | 2024-04-24 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-10 | 2024-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-22 | 2023-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-02 | 2023-08-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-02 | 2023-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-04 | 2023-07-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-04 | 2023-07-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-04 | 2023-07-06 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-06-04 | 2023-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-04 | 2023-07-06 | 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 | 2023-06-04 | 2023-07-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-04 | 2023-07-06 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-04 | 2023-07-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-04 | 2023-07-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-04 | 2023-07-06 | 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 | 2023-06-04 | 2023-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-04 | 2023-07-06 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-06-06 | 2023-07-06 | 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 | 2023-06-06 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-07-06 | 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 | 2022-08-25 | 2022-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-30 | 2022-08-09 | N |
| Meet other general requirements. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-03-29 | 2022-04-28 | Y |
| Post nurse staffing information every day. | Health | 2022-03-29 | 2022-04-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-28 | Y |
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