Deficiency Records for Bedrock Rehabilitation and Nursing Center at Melbo
Updated as of March 01, 2024
A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Melbo. 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? |
|---|---|---|---|---|
| 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 | 2023-06-22 | 2023-07-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-22 | 2023-07-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-22 | 2023-07-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-22 | 2023-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-22 | 2023-07-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-22 | 2023-07-20 | 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 | 2023-06-22 | 2023-07-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-20 | 2023-07-20 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-06-20 | 2023-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-20 | 2023-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-20 | 2023-07-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-20 | 2023-07-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-05 | 2023-06-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-15 | 2022-08-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-05 | 2021-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-03 | 2021-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-03 | 2021-09-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-03 | 2021-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-03 | 2021-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-03 | 2021-09-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-03 | 2021-09-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-12 | 2020-02-05 | 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 | 2019-12-12 | 2020-02-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-12 | 2020-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-02-05 | 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 | 2019-12-16 | 2020-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-16 | 2020-02-05 | N |
