Deficiency Records for Berkeley Pines Skilled Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Berkeley Pines Skilled Nursing 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? |
|---|---|---|---|---|
| Provide primary/alternate means for communication. | Fire Safety | 2022-05-19 | 2022-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-19 | 2022-06-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-19 | 2022-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-19 | 2022-06-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-05-12 | 2022-05-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-05-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-22 | 2019-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-22 | 2019-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-22 | 2019-11-20 | 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 | 2019-09-13 | 2019-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-10-13 | N |
| Dispose of garbage and refuse properly. | Health | 2019-09-13 | 2019-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-24 | 2018-11-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-24 | 2018-11-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-10-24 | 2018-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-24 | 2018-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-01 | 2018-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-01 | 2018-09-01 | 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 | 2018-08-01 | 2018-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-01 | 2018-09-01 | N |
