Deficiency Records for Bruce Mccandless Co State Veterans Nursing Home
Updated as of March 01, 2024
A list of the most recent deficiencies for Bruce Mccandless Co State Veterans Nursing Home. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-01 | 2020-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-01 | 2020-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-01 | 2020-09-24 | N |
| Provide large enough exits. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Have properly spaced exits within rooms. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-01 | 2020-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-01 | 2020-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-01 | 2020-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-27 | 2020-08-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-08-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-08-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-27 | 2020-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-08-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-08-13 | 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 | 2020-02-27 | 2020-08-13 | 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 | 2020-02-27 | 2020-08-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-27 | 2020-08-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-27 | 2020-08-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-27 | 2020-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-06 | 2019-04-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-02-21 | 2019-04-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-21 | 2019-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-06 | 2019-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-06 | 2019-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-06 | 2019-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-26 | 2017-12-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-08-31 | 2017-10-12 | 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 | 2017-08-31 | 2017-10-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-31 | 2017-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-26 | 2017-09-28 | N |
