Deficiency Records for Bancroft Healthcare Center
Updated as of May 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 |
