Deficiency Records for Inspire Behavioral Health
Updated as of May 01, 2018
This is not the most recent data for Inspire Behavioral Health. For the most recent information, click here.
A list of the most recent deficiencies for Inspire Behavioral Health. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-29 | 2018-01-28 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-27 | 2017-12-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-08 | 2017-12-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-11-08 | 2017-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-19 | 2017-08-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2016-11-29 | 2016-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-29 | 2016-12-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2016-11-29 | 2016-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-11-29 | 2016-12-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-11-29 | 2016-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-29 | 2016-12-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-17 | 2016-12-16 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-11-17 | 2016-12-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-17 | 2016-12-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-17 | 2016-12-16 | N |
| Keep all essential equipment working safely. | Health | 2016-11-17 | 2016-12-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-25 | 2016-09-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-12-10 | 2015-12-27 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-19 | 2015-12-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-19 | 2015-12-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-19 | 2015-12-11 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-11-05 | 2015-12-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-11-05 | 2015-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-11-05 | 2015-12-04 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-05 | 2015-12-04 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-05 | 2015-12-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-05 | 2015-12-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-05 | 2015-12-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-06-24 | 2015-07-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-04 | 2015-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-04 | 2015-05-30 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-04 | 2015-05-30 | Y |
