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Deficiency Records for Berkley East Healthcare Center
A list of the most recent deficiencies for Berkley East Healthcare 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 Berkley East Healthcare 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? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-03 | 2024-09-20 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-31 | 2024-08-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-31 | 2024-08-26 | Y |
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2024-07-02 | 2024-07-05 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-25 | 2024-07-05 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-06-06 | 2024-06-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-06-28 | 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 | 2024-06-06 | 2024-06-28 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-06-06 | 2024-06-28 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-15 | 2024-05-30 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-15 | 2024-05-30 | 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 | 2024-04-08 | 2024-04-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-28 | 2024-03-21 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-28 | 2024-03-21 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-29 | 2024-02-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-02-28 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-29 | 2024-02-28 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-16 | 2024-02-15 | 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 | 2024-01-16 | 2024-02-15 | Y |
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 | 2024-01-17 | 2024-02-12 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-17 | 2024-02-12 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-22 | 2024-01-15 | 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 | 2023-12-22 | 2024-01-15 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-12-22 | 2024-01-15 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-22 | 2024-01-15 | Y |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-12-22 | 2024-01-15 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-27 | 2023-12-12 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-27 | 2023-12-12 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-27 | 2023-12-12 | N |
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 | 2023-11-27 | 2023-12-12 | 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 | 2023-11-27 | 2023-12-12 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-27 | 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 | 2023-11-27 | 2023-12-12 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-11-27 | 2023-12-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-27 | 2023-12-12 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-27 | 2023-12-12 | 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 | 2023-11-27 | 2023-12-12 | N |
Post nurse staffing information every day. | Health | 2023-11-27 | 2023-12-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-27 | 2023-12-12 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-27 | 2023-12-12 | 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 | 2023-11-27 | 2023-12-12 | 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 | 2023-11-27 | 2023-12-12 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-11-27 | 2023-12-12 | N |
Help the resident make transportation arrangements to and from radiology services. | Health | 2023-11-27 | 2023-12-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-27 | 2023-12-12 | N |
Keep all essential equipment working safely. | Health | 2023-11-27 | 2023-12-12 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-27 | 2023-12-12 | Y |
Assess the resident when there is a significant change in condition | Health | 2023-11-27 | 2023-12-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-27 | 2023-12-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-27 | 2023-12-12 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-11-27 | 2023-12-12 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-27 | 2023-12-12 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-11-27 | 2023-12-12 | Y |
Implement a program that monitors antibiotic use. | Health | 2023-11-27 | 2023-12-12 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-11-27 | 2023-12-12 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-27 | 2023-12-12 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-11-27 | 2023-12-12 | Y |
Implement emergency and standby power systems. | Fire Safety | 2023-12-05 | 2023-12-12 | 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 | 2023-12-05 | 2023-12-08 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Construct fire resistant interior walls. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2023-12-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-05 | 2023-12-08 | 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 | 2023-11-25 | 2023-12-06 | Y |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-11-25 | 2023-12-06 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-25 | 2023-12-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-12-01 | Y |
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 | 2023-11-15 | 2023-12-01 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-26 | 2023-11-19 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2023-10-26 | 2023-11-19 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-11-19 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-11-19 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-11-19 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-18 | 2023-11-14 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-14 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-07 | 2023-11-12 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-15 | 2023-11-10 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-15 | 2023-11-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-26 | 2023-10-30 | Y |
Respond appropriately to all alleged violations. | Health | 2023-09-26 | 2023-10-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-26 | 2023-10-30 | 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 | 2023-09-26 | 2023-10-30 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-26 | 2023-10-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-10-30 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-26 | 2023-10-30 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-14 | 2023-09-25 | 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 | 2023-08-14 | 2023-09-25 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-14 | 2023-09-25 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-08-14 | 2023-09-25 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-07-31 | 2023-08-18 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-27 | 2023-07-10 | Y |
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 | 2023-06-27 | 2023-07-10 | Y |
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 | 2023-06-20 | 2023-07-07 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-06-20 | 2023-07-07 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-15 | 2023-07-07 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-06-15 | 2023-07-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-15 | 2023-07-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-07 | 2023-06-21 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2023-04-05 | 2023-06-16 | Y |
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 | 2023-04-05 | 2023-06-16 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-19 | 2023-06-10 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-14 | 2023-05-14 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-05-14 | Y |
Ensure a qualified health professional conducts resident assessments. | Health | 2023-04-05 | 2023-05-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-14 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-30 | 2023-04-14 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-28 | 2022-10-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-28 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-02 | 2022-10-02 | Y |
Provide immediate access to any resident. | Health | 2022-09-02 | 2022-10-02 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-02 | 2022-10-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-09-02 | 2022-10-02 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-02 | 2022-10-02 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-08-31 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-07-12 | 2022-07-29 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-31 | 2022-06-10 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-05-24 | 2022-06-10 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-05-24 | 2022-06-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-05-23 | Y |
Implement a program that monitors antibiotic use. | Health | 2022-04-27 | 2022-05-23 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-04-27 | 2022-05-23 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-04-27 | 2022-05-23 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-18 | 2022-03-23 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-18 | 2022-03-23 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-02-18 | 2022-03-23 | 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 | 2022-02-18 | 2022-03-23 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-18 | 2022-03-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-02-18 | 2022-03-23 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-18 | 2022-03-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-18 | 2022-03-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-03-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-18 | 2022-03-23 | 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 | 2022-02-18 | 2022-03-23 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-18 | 2022-03-23 | N |
Post nurse staffing information every day. | Health | 2022-02-18 | 2022-03-23 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-18 | 2022-03-23 | 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 | 2022-02-18 | 2022-03-23 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-18 | 2022-03-23 | 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 | 2022-02-18 | 2022-03-23 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-18 | 2022-03-23 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-18 | 2022-03-23 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-18 | 2022-03-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-18 | 2022-03-23 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-23 | N |
Implement a program that monitors antibiotic use. | Health | 2022-02-18 | 2022-03-23 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-18 | 2022-03-23 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-18 | 2022-03-23 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-18 | 2022-03-18 | 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 | 2022-02-18 | 2022-03-18 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-02-18 | 2022-03-18 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-30 | 2022-03-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-29 | 2022-01-12 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-15 | 2021-12-29 | Y |
Address subsistence needs for staff and patients. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-24 | 2019-07-18 | 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 | 2019-06-24 | 2019-07-18 | 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 | 2019-06-24 | 2019-07-18 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-24 | 2019-07-18 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-14 | 2019-07-05 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-06-14 | 2019-07-05 | 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 | 2019-06-14 | 2019-07-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-14 | 2019-07-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-14 | 2019-07-05 | 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 | 2019-06-14 | 2019-07-05 | 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 | 2019-06-14 | 2019-07-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-14 | 2019-07-05 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-14 | 2019-07-05 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-14 | 2019-07-05 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-14 | 2019-07-05 | 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 | 2019-06-14 | 2019-07-05 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-14 | 2019-07-05 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-06-14 | 2019-07-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-14 | 2019-07-05 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-07-05 | N |
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- Facility Name
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- Mailing Address
- Contact Information
- Phone Numbers
- Website Addresses
- File Formats: .xls, .csv, .txt
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Reports updated monthly.