Deficiency Records for Berthoud Care and Rehabilitation
Updated as of August 01, 2016
This is not the most recent data for Berthoud Care and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| A properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2015-06-17 | 2015-07-27 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-02 | 2015-07-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-02 | 2015-07-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-02 | 2015-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-02 | 2015-07-07 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-06-02 | 2015-07-07 | 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 | 2015-06-02 | 2015-07-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-06-02 | 2015-07-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-02 | 2015-07-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-07-02 | 2014-09-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-07-02 | 2014-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-07-02 | 2014-09-30 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-07-02 | 2014-09-30 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2014-07-02 | 2014-09-30 | Y |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-07-29 | 2014-09-01 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-07-02 | 2014-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-02 | 2014-08-06 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2014-07-02 | 2014-08-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-07-02 | 2014-08-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-07-02 | 2014-08-06 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2014-07-02 | 2014-08-06 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2014-07-02 | 2014-08-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-07-02 | 2014-08-06 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-07-02 | 2014-08-06 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-07-02 | 2014-08-06 | Y |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-08-21 | 2013-09-29 | N |
| Try to resolve each resident's complaints quickly. | Health | 2013-07-24 | 2013-09-03 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2013-07-24 | 2013-09-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-07-24 | 2013-08-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-07-24 | 2013-08-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-07-24 | 2013-08-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-07-24 | 2013-08-27 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-07-24 | 2013-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-07-24 | 2013-08-27 | 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 | 2013-07-24 | 2013-08-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-07-24 | 2013-08-27 | 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 | 2013-07-24 | 2013-08-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-07-24 | 2013-08-27 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2013-07-24 | 2013-08-27 | N |
