Deficiency Records for Birmingham Nursing and Rehabilitation Ctr LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Birmingham Nursing and Rehabilitation Ctr LLC. 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? |
|---|---|---|---|---|
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-01-31 | 2024-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-31 | 2024-03-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-31 | 2024-03-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-09-20 | 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 | 2023-08-16 | 2023-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-06 | 2023-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-06 | 2023-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-06 | 2023-03-13 | 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 | 2023-02-06 | 2023-03-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-06 | 2023-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-06 | 2023-03-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-06 | 2023-03-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-06 | 2023-03-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-06 | 2023-03-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-03 | 2022-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-03 | 2022-06-03 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-03 | 2022-06-03 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-03 | 2022-06-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-05-03 | 2022-06-03 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-05-03 | 2022-06-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-03 | 2022-06-03 | Y |
| Have policies on smoking. | Health | 2022-05-03 | 2022-06-03 | Y |
