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Deficiency Records for Bear Creek Nursing and Rehabilitation
A list of the most recent deficiencies for Bear Creek Nursing and Rehabilitation. 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 Bear Creek Nursing and Rehabilitation. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-15 | 2024-03-31 | 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 | 2024-02-15 | 2024-03-31 | 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 | 2024-02-15 | 2024-03-31 | 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 | 2024-02-15 | 2024-03-31 | 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 | 2024-02-15 | 2024-03-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-15 | 2024-03-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-02-15 | 2024-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-15 | 2024-03-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-15 | 2024-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-30 | 2024-02-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-30 | 2023-10-20 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-08 | 2022-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-08 | 2022-12-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-12-08 | 2022-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-08 | 2022-12-31 | 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 | 2022-12-07 | 2022-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-08 | 2022-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2022-01-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-01 | 2021-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-01 | 2021-10-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-30 | 2021-10-01 | N |
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