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Deficiency Records for Birchwood of Golfcrest

A list of the most recent deficiencies for Birchwood of Golfcrest. 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 Birchwood of Golfcrest. 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 each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-02-18 2024-03-27 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 2024-02-18 2024-03-19 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 2024-02-18 2024-03-19 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-18 2024-03-19 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-18 2024-03-19 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-02-18 2024-03-19 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-02-18 2024-03-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-30 2024-03-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-18 2024-02-19 N
Ensure each resident receives an accurate assessment. Health 2024-02-18 2024-02-18 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 2024-01-30 2024-01-31 N
Keep residents' personal and medical records private and confidential. Health 2022-10-20 2022-10-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-21 2022-10-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-10-21 2022-10-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-21 2022-10-22 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-17 2022-02-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-17 2022-02-28 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-11-01 2021-12-01 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-08-19 2021-09-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-19 2021-09-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-08-19 2021-09-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-08-19 2021-09-15 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-19 2021-09-15 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 2021-08-19 2021-09-15 N
Provide and implement an infection prevention and control program. Health 2021-08-19 2021-09-15 N
Provide properly protected cooking facilities. Fire Safety 2021-08-18 2021-09-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-18 2021-09-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-08-18 2021-09-08 N

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