Deficiency Records for Berkley Post-Acute
Updated as of May 01, 2024
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Deficiency Records for Berkley Post-Acute
A list of the most recent deficiencies for Berkley Post-Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Berkley Post-Acute. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-10 | 2024-01-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-01-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-04 | 2024-01-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-04 | 2024-01-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-28 | 2023-12-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-20 | 2023-11-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-20 | 2023-11-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-20 | 2023-11-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-15 | 2023-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-13 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-15 | 2023-09-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-11 | 2023-07-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-11 | 2023-07-31 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-07-11 | 2023-07-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-11 | 2023-07-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-22 | 2023-06-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-22 | 2023-06-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-12 | 2023-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-12 | 2022-12-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-13 | 2022-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-08 | 2022-02-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-03 | 2021-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-03 | 2021-12-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-03 | 2021-12-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-03 | 2021-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-12 | 2021-10-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-07 | 2021-06-30 | 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 | 2021-06-07 | 2021-06-30 | 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 | 2021-06-07 | 2021-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-07 | 2021-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-07 | 2021-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-07 | 2021-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-07 | 2021-06-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-07 | 2021-06-30 | 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 | 2021-06-07 | 2021-06-30 | 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 | 2021-06-07 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-07 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-07 | 2021-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-02 | 2021-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-02 | 2021-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-14 | 2020-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-14 | 2020-02-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-14 | 2020-02-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-09 | 2020-01-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-09 | 2020-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-01-31 | 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 | 2020-01-09 | 2020-01-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-09 | 2020-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-01-31 | N |
| 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 | 2020-01-09 | 2020-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-01-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-01-09 | 2020-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-09 | 2020-01-31 | 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 | 2020-01-09 | 2020-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-01-31 | 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 | 2019-01-25 | 2019-02-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-25 | 2019-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-25 | 2019-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-25 | 2019-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-25 | 2019-02-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-25 | 2019-02-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-25 | 2019-02-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-01-25 | 2019-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-25 | 2019-02-17 | 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 | 2019-01-25 | 2019-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-25 | 2019-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-25 | 2019-02-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-25 | 2019-02-17 | 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 | 2019-01-25 | 2019-02-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-25 | 2019-02-17 | N |
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