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Deficiency Records for Bridgeview Care
A list of the most recent deficiencies for Bridgeview Care. 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 Bridgeview Care. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-06 | 2024-09-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-06 | 2024-09-23 | 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 | 2024-08-20 | 2024-09-11 | 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 | 2024-07-17 | 2024-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-01 | 2024-08-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-01 | 2024-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-01 | 2024-08-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-13 | 2024-08-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-07-13 | 2024-08-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-13 | 2024-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-13 | 2024-08-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide appropriate foot care. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-13 | 2024-08-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-13 | 2024-08-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | 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 | 2024-07-13 | 2024-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-13 | 2024-08-15 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-07-13 | 2024-08-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-13 | 2024-08-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-13 | 2024-08-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-09 | 2024-08-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-09 | 2024-08-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-09 | 2024-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-09 | 2024-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-09 | 2024-08-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-09 | 2024-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-07 | 2024-05-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-07 | 2024-05-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-03-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-03-26 | Y |
| 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 | 2024-03-07 | 2024-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-28 | Y |
| 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 | 2024-01-04 | 2024-01-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-14 | 2024-01-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-06 | 2024-01-02 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-17 | 2023-12-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-17 | 2023-12-11 | 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 | 2023-11-17 | 2023-12-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-11 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-08 | 2023-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-08 | 2023-10-11 | 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 | 2023-09-08 | 2023-10-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-09-08 | 2023-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-08 | 2023-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-08 | 2023-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-08 | 2023-10-11 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-11 | 2023-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-11 | 2023-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-11 | 2023-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-11 | 2023-09-21 | 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 | 2023-05-19 | 2023-06-15 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-19 | 2023-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-02 | 2023-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-09 | 2023-02-05 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-09 | 2023-02-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-09 | 2022-07-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-09 | 2022-07-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-09 | 2022-07-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-09 | 2022-07-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-09 | 2022-07-21 | N |
| Post nurse staffing information every day. | Health | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-09 | 2022-07-21 | 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 | 2022-06-09 | 2022-07-21 | N |
| Provide or obtain dental services for each resident. | Health | 2022-06-09 | 2022-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-21 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-09 | 2022-07-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-06-09 | 2022-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-06 | 2022-07-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-06 | 2022-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-06 | 2022-07-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-06 | 2022-07-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-06 | 2022-07-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Establish methods for sharing information. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Meet other general requirements. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-06 | 2022-06-28 | 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 | 2022-06-06 | 2022-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-06 | 2022-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-04 | 2022-04-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-04 | 2022-04-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-04 | 2022-04-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-04 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-04 | 2022-04-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-04 | 2022-04-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-07 | 2022-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-07 | 2022-03-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-25 | 2022-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2022-01-19 | 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 | 2021-11-22 | 2021-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-22 | 2021-12-22 | Y |
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