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Deficiency Records for Balch Springs Nursing Home
A list of the most recent deficiencies for Balch Springs Nursing Home. 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 Balch Springs Nursing Home. 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 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 | 2024-05-31 | 2024-06-03 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-13 | 2024-03-20 | 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 | 2024-02-13 | 2024-03-19 | 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 | 2024-02-14 | 2024-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-14 | 2024-02-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-14 | 2024-02-19 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-02-14 | 2024-02-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-14 | 2024-02-19 | 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 | 2024-02-14 | 2024-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-14 | 2024-02-19 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-13 | 2024-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-13 | 2024-02-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-13 | 2024-02-16 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-02-07 | 2023-03-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-05 | 2023-02-02 | N |
| 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 | 2023-01-05 | 2023-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-05 | 2023-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-04 | 2023-02-02 | 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 | 2023-01-04 | 2023-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-04 | 2023-02-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-04 | 2023-02-02 | 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 | 2022-10-03 | 2022-10-31 | 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 | 2022-05-16 | 2022-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-16 | 2022-06-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-16 | 2022-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-04-27 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-27 | 2021-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-27 | 2021-11-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-27 | 2021-11-10 | 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 | 2021-10-27 | 2021-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-28 | Not Fixed | Y |
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