A list of the most recent deficiencies for Berkley Manor Care 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? |
|---|---|---|---|---|
| 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 | 2023-12-14 | 2024-02-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-12-14 | 2024-02-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-14 | 2024-02-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-14 | 2024-02-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-14 | 2024-02-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-12-14 | 2024-02-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-14 | 2024-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2024-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-14 | 2024-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-14 | 2024-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-14 | 2024-01-17 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-12-14 | 2024-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-14 | 2024-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2023-12-29 | Y |
| 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 | 2023-11-30 | 2023-12-29 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2023-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-14 | 2023-12-22 | 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 | 2023-12-14 | 2023-12-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-31 | 2022-10-21 | 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 | 2022-08-31 | 2022-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-31 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-31 | 2022-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-31 | 2022-10-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-31 | 2022-10-21 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2022-08-31 | 2022-10-21 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-08-31 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-31 | 2022-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-31 | 2022-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-31 | 2022-10-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-31 | 2022-09-15 | 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 | 2022-08-11 | 2022-09-09 | 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 | 2022-08-11 | 2022-09-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-11 | 2022-09-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-11 | 2022-09-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-08-11 | 2022-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-09-09 | 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 | 2022-08-11 | 2022-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-11 | 2022-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-11 | 2022-09-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-11 | 2022-09-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-11 | 2022-09-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-11 | 2022-09-09 | 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 | 2022-08-11 | 2022-09-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-08-11 | 2022-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-09-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-11 | 2022-09-09 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-08-11 | 2022-09-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-06 | 2022-02-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-06 | 2022-02-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-06 | 2022-02-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-06 | 2022-02-01 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-06 | 2022-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-01 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-17 | 2021-08-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-27 | 2021-07-09 | 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 | 2021-05-27 | 2021-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-17 | 2021-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-17 | 2021-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-17 | 2021-06-28 | 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 | 2021-05-27 | 2021-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-06-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-27 | 2021-06-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-05-27 | 2021-06-24 | 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 | 2021-05-27 | 2021-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-27 | 2021-06-24 | 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 | 2021-06-17 | 2021-06-23 | N |
