A list of the most recent deficiencies for Berthoud Care and Rehabilitation. 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 properly protected cooking facilities. | Fire Safety | 2023-03-14 | 2023-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-04 | 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 | 2023-02-16 | 2023-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-16 | 2023-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-16 | 2023-03-17 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-16 | 2023-03-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-02-16 | 2023-03-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-16 | 2023-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-14 | 2023-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-23 | 2021-12-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-23 | 2021-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-09 | 2021-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-09 | 2021-12-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-09 | 2021-12-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-09 | 2021-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-09 | 2021-12-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-09 | 2021-12-08 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-11-09 | 2021-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-26 | 2020-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-05-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-26 | 2020-05-01 | 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 | 2020-02-26 | 2020-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-26 | 2020-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-26 | 2020-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-26 | 2020-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-26 | 2020-04-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-02-26 | 2020-04-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-26 | 2020-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-30 | 2020-03-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-30 | 2020-03-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-30 | 2020-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-03-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-01-30 | 2020-03-04 | 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 | 2020-01-30 | 2020-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-03-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-30 | 2020-03-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-30 | 2020-03-04 | N |
