CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Inspire Behavioral Health
View the most recent health deficiencies and inspection results for Inspire Behavioral Health. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Inspire Behavioral Health. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-05 | 2025-11-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-11-05 | 2025-11-26 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-11-05 | 2025-11-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-11-05 | 2025-11-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-05 | 2025-11-26 | 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 | 2025-11-05 | 2025-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-05 | 2025-11-26 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-05 | 2025-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-05 | 2025-11-26 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2025-11-05 | 2025-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-05 | 2025-11-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-05 | 2025-11-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-11-05 | 2025-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-05 | 2025-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-05 | 2025-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-05 | 2025-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-10 | 2025-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-21 | 2025-04-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-03 | 2025-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-11 | 2024-10-16 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-24 | 2024-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-11 | 2024-09-27 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-11 | 2024-08-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2024-07-11 | 2024-08-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-12 | 2024-08-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-07-31 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-07-11 | 2024-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-11 | 2024-07-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-07-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-05 | 2021-12-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-05 | 2021-12-10 | 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 | 2021-11-05 | 2021-12-10 | 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 | 2021-11-05 | 2021-12-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-05 | 2021-12-10 | 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 | 2021-11-05 | 2021-12-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-05 | 2021-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-05 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-05 | 2021-12-10 | 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 | 2021-11-05 | 2021-12-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-05 | 2021-11-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-11-05 | 2021-11-29 | 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 | 2021-11-05 | 2021-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-05 | 2021-11-29 | N |