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Deficiency Records for Bay Ridge Healthcare Center
A list of the most recent deficiencies for Bay Ridge 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 Bay Ridge 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? |
|---|---|---|---|---|
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-04-15 | 2024-04-16 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-15 | 2024-04-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-22 | 2024-03-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-22 | 2024-03-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-13 | 2024-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-07 | 2024-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-01-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-29 | 2024-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-29 | 2023-12-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-29 | 2023-12-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-25 | 2022-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-25 | 2022-10-11 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-25 | 2022-10-04 | 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 | 2022-09-25 | 2022-10-04 | 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 | 2022-09-25 | 2022-10-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-25 | 2022-10-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-25 | 2022-10-03 | 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 | 2022-09-25 | 2022-10-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-25 | 2022-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-25 | 2022-10-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-25 | 2022-10-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-25 | 2022-10-03 | N |
| Post nurse staffing information every day. | Health | 2022-09-25 | 2022-10-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-25 | 2022-10-03 | 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 | 2022-09-25 | 2022-10-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-25 | 2022-10-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-25 | 2022-10-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-21 | 2022-10-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-11 | 2022-06-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-03 | 2021-08-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-03 | 2021-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-03 | 2021-08-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-03 | 2021-08-31 | 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 | 2021-08-03 | 2021-08-31 | 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 | 2021-08-03 | 2021-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-05 | 2021-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-05 | 2021-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-05 | 2021-08-31 | N |
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