Deficiency Records for Bancroft Healthcare Center
Updated as of January 01, 2022
This is not the most recent data for Bancroft Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Bancroft Healthcare Center. 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? |
---|---|---|---|---|
Ensure that residents are free from significant medication errors. | Health | 2019-11-18 | 2020-01-30 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Establish methods for sharing information. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Use approved construction type or materials. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-31 | 2019-06-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-31 | 2019-06-15 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-31 | 2019-06-15 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Develop a communication plan. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Use approved construction type or materials. | Fire Safety | 2018-09-26 | 2018-10-15 | 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 | 2018-09-26 | 2018-10-15 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-07-05 | 2018-08-05 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-07-05 | 2018-08-05 | N |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-07-05 | 2018-08-05 | 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 | 2018-07-05 | 2018-08-05 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-07-05 | 2018-08-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-05 | 2018-08-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-05 | 2018-08-05 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-05 | 2018-08-05 | 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 | 2018-07-05 | 2018-08-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-05 | 2018-08-05 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-05 | 2018-08-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-26 | 2017-09-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-26 | 2017-09-06 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-07-26 | 2017-09-06 | N |
Provide housekeeping and maintenance services. | Health | 2017-07-07 | 2017-08-08 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-07-07 | 2017-08-08 | N |
Provide and implement an infection prevention and control program. | Health | 2020-06-24 | Not Fixed | N |