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Deficiency Records for Berlin Health and Rehab Ctr
A list of the most recent deficiencies for Berlin Health and Rehab Ctr. 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 Berlin Health and Rehab Ctr. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-01 | 2024-04-18 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-01 | 2024-04-18 | Y |
Respond appropriately to all alleged violations. | Health | 2024-03-01 | 2024-04-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-01 | 2024-04-18 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-01 | 2024-04-18 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-01 | 2024-04-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-01 | 2024-04-18 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-01 | 2024-04-18 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-01 | 2024-04-18 | N |
Provide activities to meet all resident's needs. | Health | 2024-03-01 | 2024-04-18 | 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 | 2024-03-01 | 2024-04-18 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-03-01 | 2024-04-18 | 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 | 2024-03-01 | 2024-04-18 | 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 | 2024-03-01 | 2024-04-18 | N |
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-03-01 | 2024-04-18 | N |
Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-04-18 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-01 | 2024-04-18 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-01 | 2024-04-18 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-02-01 | 2024-03-07 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-03-07 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-02-01 | 2024-03-07 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-01 | 2024-03-07 | Y |
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-02-01 | 2024-03-07 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-02-01 | 2024-03-07 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-01 | 2023-11-27 | Y |
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2023-11-01 | 2023-11-27 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-17 | 2023-11-21 | Y |
Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-10-17 | 2023-11-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-09 | 2023-10-09 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-18 | 2023-09-11 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-18 | 2023-09-11 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-22 | 2023-09-05 | Y |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-07-27 | 2023-08-23 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-27 | 2023-08-23 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-27 | 2023-08-23 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-07-27 | 2023-08-23 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-08-23 | Y |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-07-27 | 2023-08-23 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-26 | 2023-08-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-26 | 2023-08-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-26 | 2023-08-15 | Y |
Respond appropriately to all alleged violations. | Health | 2023-07-26 | 2023-08-15 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-25 | 2023-07-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-07-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-25 | 2023-07-15 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-05-25 | 2023-07-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-25 | 2023-07-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-25 | 2023-07-15 | 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 | 2023-05-24 | 2023-07-07 | 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 | 2023-05-24 | 2023-07-07 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-24 | 2023-07-07 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-07-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-07-07 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-07-07 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-24 | 2023-07-07 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-24 | 2023-07-07 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-24 | 2023-07-07 | 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 | 2023-02-09 | 2023-02-28 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-02-09 | 2023-02-09 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-07 | 2023-02-07 | Y |
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 | 2022-12-07 | 2023-02-07 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-07 | 2023-02-07 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-11-09 | 2022-12-11 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-09 | 2022-12-11 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-09 | 2022-12-11 | Y |
Help the resident make transportation arrangements to and from radiology services. | Health | 2022-12-07 | 2022-12-07 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-10 | 2022-09-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-09-09 | N |
Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-09-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-09-09 | 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 | 2022-01-20 | 2022-02-26 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-20 | 2022-02-26 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-20 | 2022-02-26 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-20 | 2022-02-26 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-01-20 | 2022-02-26 | Y |
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