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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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