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Deficiency Records for Baldwin Care Center
A list of the most recent deficiencies for Baldwin 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 Baldwin 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-08 | 2024-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-08 | 2024-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-08 | 2024-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-08 | 2024-09-01 | 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 | 2024-08-06 | 2024-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-06 | 2024-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-06 | 2024-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-06 | 2024-09-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-17 | 2023-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-17 | 2023-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-17 | 2023-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-16 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| 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 | 2022-08-10 | 2022-09-08 | 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 | 2022-08-10 | 2022-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-10 | 2022-09-08 | N |
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