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Deficiency Records for Advanced Rehabilitation and Healthcare of Burleson
A list of the most recent deficiencies for Advanced Rehabilitation and Healthcare of Burleson. 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 Advanced Rehabilitation and Healthcare of Burleson. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-22 | 2024-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-22 | 2024-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-22 | 2024-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-10-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-22 | 2024-10-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-22 | 2024-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-22 | 2024-09-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-23 | 2024-06-17 | 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 | 2024-05-23 | 2024-06-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-23 | 2024-06-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-05-31 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-11 | 2023-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-11 | 2023-11-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-11 | 2023-11-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-11 | 2023-11-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-11 | 2023-11-25 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-29 | 2023-07-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-13 | 2023-03-14 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-12-19 | 2023-02-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-19 | 2023-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-12 | 2022-06-02 | 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 | 2022-01-21 | 2022-02-14 | Y |
| 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 | 2021-12-14 | 2022-01-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-14 | 2022-01-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-14 | 2022-01-07 | Y |
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