Deficiency Records for Birchwood Health and Rehabilitation Center
Updated as of October 01, 2021
This is not the most recent data for Birchwood Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Birchwood Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-09 | 2020-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-09 | 2020-02-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-12-13 | 2019-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-01-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-13 | 2019-01-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-12-10 | 2019-01-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-08 | 2018-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-08 | 2018-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-08 | 2018-02-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-08 | 2018-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-08 | 2018-02-08 | 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 | 2018-01-08 | 2018-02-08 | 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 | 2018-01-08 | 2018-02-08 | N |
| 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 | 2018-01-08 | 2018-02-08 | N |
| 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 | 2018-01-08 | 2018-02-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-08 | 2018-02-08 | N |
