A list of the most recent deficiencies for Bear Creek Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2024-01-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-21 | 2024-01-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-21 | 2024-01-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-21 | 2024-01-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-21 | 2024-01-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-01-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-21 | 2024-01-19 | 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 | 2023-12-21 | 2024-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-21 | 2024-01-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-12-18 | 2024-01-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-18 | 2024-01-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-18 | 2024-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-18 | 2024-01-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-20 | 2022-12-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-20 | 2022-12-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-20 | 2022-12-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-20 | 2022-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2022-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-20 | 2022-12-01 | N |
| Keep all essential equipment working safely. | Health | 2022-10-20 | 2022-12-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-10-21 | 2022-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-21 | 2022-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-24 | 2021-12-23 | 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 | 2021-11-24 | 2021-12-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-24 | 2021-12-23 | 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 | 2021-11-24 | 2021-12-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-24 | 2021-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-24 | 2021-12-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-11-22 | 2021-12-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-11-22 | 2021-12-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-22 | 2021-12-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-22 | 2021-12-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-11-22 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-22 | 2021-12-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-24 | 2021-11-24 | N |
