Deficiency Records for The Springs of Barrow
Updated as of August 01, 2021
This is not the most recent data for The Springs of Barrow. For the most recent information, click here.
A list of the most recent deficiencies for The Springs of Barrow. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-09 | 2021-03-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-02-09 | 2021-03-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-02-09 | 2021-03-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-02-09 | 2021-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-09 | 2021-03-01 | N |
| Keep all essential equipment working safely. | Health | 2021-02-09 | 2021-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-04 | 2021-01-03 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-10-22 | 2020-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-22 | 2020-10-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-11 | 2020-10-11 | Y |
| Provide appropriate foot care. | Health | 2020-09-11 | 2020-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-11 | 2020-10-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-09-11 | 2020-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-11 | 2020-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-07 | 2020-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-19 | 2020-10-11 | N |
| 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 | 2020-08-07 | 2020-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-08-07 | 2020-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-07 | 2020-09-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-08-07 | 2020-09-06 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2020-06-19 | 2020-07-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-06-19 | 2020-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-03 | 2020-05-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-06 | 2020-04-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-23 | 2019-09-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-08-23 | 2019-09-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-23 | 2019-09-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-23 | 2019-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2019-09-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-23 | 2019-09-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-23 | 2019-09-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-23 | 2019-09-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-23 | 2019-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-09-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-23 | 2019-09-22 | N |
| 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 | 2019-08-23 | 2019-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-23 | 2019-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-23 | 2019-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-09-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-23 | 2019-09-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-23 | 2019-09-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-23 | 2019-09-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-21 | 2019-09-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-23 | 2019-08-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-27 | 2019-07-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-27 | 2019-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-27 | 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 | 2019-06-27 | 2019-07-27 | 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 | 2019-04-25 | 2019-05-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-25 | 2019-05-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-25 | 2019-05-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-04-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-11 | 2019-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-11 | 2019-01-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-11 | 2019-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-11 | 2019-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-11 | 2018-12-11 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-29 | 2018-09-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-31 | 2018-09-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-31 | 2018-09-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-31 | 2018-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-31 | 2018-09-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-31 | 2018-09-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-31 | 2018-09-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-08-31 | 2018-09-30 | 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 | 2018-08-31 | 2018-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-31 | 2018-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-31 | 2018-09-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-31 | 2018-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-09-30 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-08-31 | 2018-09-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-31 | 2018-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-31 | 2018-09-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-31 | 2018-09-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-31 | 2018-09-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-31 | 2018-09-30 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-08-31 | 2018-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-31 | 2018-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-09-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-31 | 2018-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-09-30 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-08-31 | 2018-09-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-31 | 2018-08-31 | N |
