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Deficiency Records for Blythe Post Acute LLC
A list of the most recent deficiencies for Blythe Post Acute LLC. 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 Blythe Post Acute LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-07-16 | 2024-08-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-16 | 2024-08-09 | 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 | 2024-07-01 | 2024-07-31 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-01 | 2024-07-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-07-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-02 | 2024-07-24 | Y |
| 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 | 2024-07-02 | 2024-07-24 | 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 | 2024-06-26 | 2024-07-18 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-21 | 2024-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-02 | 2024-02-23 | N |
| Keep all essential equipment working safely. | Health | 2024-02-02 | 2024-02-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-02 | 2024-02-22 | 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 | 2024-02-02 | 2024-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-02 | 2024-02-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-02 | 2024-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-02 | 2024-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-02 | 2024-02-22 | 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 | 2024-02-02 | 2024-02-21 | N |
| Provide or obtain dental services for each resident. | Health | 2024-02-02 | 2024-02-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-02 | 2024-02-16 | 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 | 2024-02-02 | 2024-02-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-02 | 2024-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2024-01-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-07 | 2023-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-11-06 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-07 | 2023-11-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-17 | 2023-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-11 | 2023-10-21 | 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 | 2023-09-05 | 2023-10-18 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-31 | 2023-10-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-11 | 2023-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-30 | 2023-06-29 | 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 | 2023-05-30 | 2023-06-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-24 | 2023-05-24 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-07 | 2022-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-30 | 2022-04-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-30 | 2022-04-22 | 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 | 2022-03-30 | 2022-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-30 | 2022-04-22 | 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 | 2022-03-30 | 2022-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-30 | 2022-04-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-30 | 2022-04-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-30 | 2022-04-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-30 | 2022-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-10 | 2021-12-07 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-14 | 2020-02-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-09 | 2020-02-12 | 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 | 2020-01-09 | 2020-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-09 | 2020-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-12 | N |
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