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Deficiency Records for Bridge Crest Post Acute
A list of the most recent deficiencies for Bridge Crest Post Acute. 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 Bridge Crest Post Acute. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-09 | 2024-11-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-10-11 | 2024-11-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-10-11 | 2024-11-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-11 | 2024-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-11 | 2024-11-14 | N |
| 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 | 2024-10-11 | 2024-11-14 | N |
| Post nurse staffing information every day. | Health | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-11 | 2024-11-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-11 | 2024-11-14 | 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 | 2024-10-11 | 2024-11-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Meet other general requirements. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-09 | 2024-11-14 | 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 | 2024-10-09 | 2024-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-10-09 | 2024-11-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-09 | 2024-11-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-09 | 2024-10-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-10-09 | 2024-10-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-10-09 | 2024-10-28 | N |
| Develop a communication plan. | Fire Safety | 2024-10-09 | 2024-10-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-10-09 | 2024-10-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-10-09 | 2024-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-04-17 | 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 | 2023-11-14 | 2023-12-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-14 | 2023-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-14 | 2023-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-14 | 2023-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-14 | 2023-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-14 | 2023-12-12 | 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 | 2023-11-14 | 2023-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-14 | 2023-12-12 | N |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2023-11-14 | 2023-12-12 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-14 | 2023-12-12 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-11-08 | 2023-11-20 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-11-08 | 2023-11-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-08 | 2023-11-20 | 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 | 2023-11-08 | 2023-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2023-11-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-08 | 2023-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-08 | 2023-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-08 | 2023-11-20 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-11-08 | 2023-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-02 | 2023-10-22 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-14 | 2023-05-03 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-06 | 2023-02-08 | 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 | 2023-01-06 | 2023-02-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-06 | 2023-02-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-06 | 2023-02-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-06 | 2023-02-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-06 | 2023-02-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-06 | 2023-02-08 | 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 | 2023-01-06 | 2023-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-02-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-01-04 | 2023-01-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-01-04 | 2023-01-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-04 | 2023-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-04 | 2023-01-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-01-04 | 2023-01-24 | N |
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