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Deficiency Records for White Blossom Care Center
A list of the most recent deficiencies for White Blossom 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 White Blossom 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? |
|---|---|---|---|---|
| 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 | 2024-08-29 | 2024-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-19 | 2024-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-25 | 2024-07-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-25 | 2024-07-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-12 | 2024-07-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-07 | 2024-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-02 | 2024-01-23 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-12-05 | 2023-12-21 | 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 | 2023-06-23 | 2023-07-20 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-05-25 | 2023-06-22 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-25 | 2023-06-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-14 | 2023-01-04 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-14 | 2023-01-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-14 | 2023-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-09-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-15 | 2022-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-15 | 2022-04-15 | 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 | 2022-02-15 | 2022-04-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-15 | 2022-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-15 | 2022-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-15 | 2022-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-15 | 2022-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-15 | 2022-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-15 | 2022-04-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-15 | 2022-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-15 | 2022-04-15 | 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 | 2022-02-15 | 2022-04-15 | 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 | 2022-02-15 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-15 | 2022-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-04-15 | 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 | 2022-02-15 | 2022-04-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-15 | 2022-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2019-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-12 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2019-12-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-11-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-10-10 | 2019-11-05 | 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 | 2019-10-10 | 2019-11-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-10 | 2019-11-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-10 | 2019-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-11-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-10 | 2019-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-11-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-10 | 2019-11-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-10 | 2019-11-05 | 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 | 2019-10-10 | 2019-11-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-10 | 2019-11-05 | 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 | 2019-10-10 | 2019-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-05 | N |
| Keep all essential equipment working safely. | Health | 2019-10-10 | 2019-11-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-27 | 2018-12-27 | N |
| Develop a communication plan. | Fire Safety | 2018-11-27 | 2018-12-27 | 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 | 2018-11-27 | 2018-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-27 | 2018-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-27 | 2018-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-27 | 2018-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-21 | 2018-10-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-21 | 2018-10-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-21 | 2018-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-21 | 2018-10-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-21 | 2018-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-21 | 2018-10-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-09-21 | 2018-10-21 | 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 | 2018-09-21 | 2018-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-21 | 2018-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-21 | 2018-10-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-21 | 2018-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-21 | 2018-10-21 | 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 | 2018-09-21 | 2018-10-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-21 | 2018-10-21 | 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 | 2018-09-21 | 2018-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-21 | 2018-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-21 | 2018-10-21 | N |
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