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Deficiency Records for The Bartlett Skilled Nursing and Assisted Living
A list of the most recent deficiencies for The Bartlett Skilled Nursing and Assisted Living. 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 The Bartlett Skilled Nursing and Assisted Living. 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? |
|---|---|---|---|---|
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-11 | 2024-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-11 | 2024-07-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-11 | 2024-07-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-11 | 2024-07-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-11 | 2024-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-07-12 | 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 | 2024-07-11 | 2024-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-27 | 2023-08-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-27 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-27 | 2023-07-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-15 | 2023-07-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-15 | 2023-07-03 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-15 | 2023-07-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-15 | 2023-07-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-15 | 2023-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-03 | 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 | 2023-06-15 | 2023-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-15 | 2023-07-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-15 | 2023-07-03 | 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 | 2023-06-15 | 2023-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-15 | 2023-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-15 | 2023-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-03 | 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 | 2022-10-13 | 2022-10-14 | 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 | 2022-05-11 | 2022-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-11 | 2022-05-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-11 | 2022-05-12 | N |
| Post nurse staffing information every day. | Health | 2022-05-11 | 2022-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-11 | 2022-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-05-12 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-05-11 | 2022-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-21 | 2022-02-09 | Y |
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