Deficiency Records for Berthoud Care and Rehabilitation
Updated as of July 01, 2020
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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-12 | 2019-09-26 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-12 | 2019-09-26 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-12 | 2019-09-26 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-12 | 2019-09-26 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-12 | 2019-09-26 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-12 | 2019-09-26 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-12 | 2019-09-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-12 | 2019-09-26 | 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 | 2019-08-12 | 2019-09-26 | Y |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-12 | 2019-09-26 | Y |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-08-12 | 2019-09-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-08-12 | 2019-09-26 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-08-12 | 2019-09-26 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-21 | 2019-03-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-21 | 2019-03-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-21 | 2019-03-23 | 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 | 2019-02-21 | 2019-03-23 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-03-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-05 | 2018-07-31 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-15 | 2018-01-17 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-06 | 2017-12-12 | Y |
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 | 2017-10-06 | 2017-12-12 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-06 | 2017-12-12 | Y |
Allow residents to self-administer drugs if determined safe. | Health | 2017-10-06 | 2017-11-09 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-06 | 2017-11-09 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-06 | 2017-11-09 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-06 | 2017-11-09 | Y |
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 | 2017-10-06 | 2017-11-09 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-06 | 2017-11-09 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-06 | 2017-11-09 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-06 | 2017-11-09 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-06 | 2017-11-09 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-06 | 2017-11-09 | Y |
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 | 2017-10-06 | 2017-11-09 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-06 | 2017-11-09 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-06 | 2017-11-09 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-06 | 2017-11-09 | Y |
Try to resolve each resident's complaints quickly. | Health | 2017-06-27 | 2017-07-31 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-27 | 2017-07-31 | Y |
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 | 2017-06-27 | 2017-07-31 | Y |
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-06-27 | 2017-07-31 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-27 | 2017-07-31 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-27 | 2017-07-31 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-27 | 2017-07-31 | Y |
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 | 2016-07-29 | 2016-08-31 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-29 | 2016-08-31 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-29 | 2016-08-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-29 | 2016-08-31 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2016-07-29 | 2016-08-31 | 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 | 2016-07-29 | 2016-08-31 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-07-29 | 2016-08-31 | N |
Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-07-29 | 2016-08-31 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-07-29 | 2016-08-31 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-07-29 | 2016-08-31 | N |
Hire sufficient dietary support personnel. | Health | 2016-07-29 | 2016-08-24 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-07-29 | 2016-08-24 | N |