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Deficiency Records for Birchwood Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Birchwood Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Birchwood Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-12 | 2026-03-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-07 | 2025-09-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-08-07 | 2025-09-07 | 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 | 2025-08-07 | 2025-09-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-07 | 2025-09-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-07 | 2025-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-06 | 2025-05-27 | Y |
| 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 | 2025-03-06 | 2025-04-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-17 | 2023-11-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-17 | 2023-11-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-17 | 2023-11-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-17 | 2023-09-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-17 | 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 | 2023-08-17 | 2023-09-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-17 | 2023-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-17 | 2023-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-17 | 2023-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-17 | 2023-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-17 | 2023-08-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-08-17 | 2023-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-17 | 2023-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-17 | 2023-08-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-21 | 2021-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-10-21 | 2021-11-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-10-21 | 2021-11-13 | N |