Deficiency Records for Bedrock Rehabilitation and Nursing Center at Orlan

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Updated as of April 01, 2024

A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Orlan. 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?
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-01-11 2024-02-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-11 2024-02-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-14 2024-02-15 Y
Keep residents' personal and medical records private and confidential. Health 2024-01-11 2024-02-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-11 2024-02-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-11 2024-02-15 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 2024-01-11 2024-02-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-11 2024-02-15 N
Post nurse staffing information every day. Health 2024-01-11 2024-02-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-11 2024-02-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-01-11 2024-02-15 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-01-11 2024-02-15 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-01-11 2024-02-15 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 2024-01-11 2024-02-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-11 2024-02-15 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-01-11 2024-02-15 Y
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 2024-01-11 2024-02-15 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-11 2024-02-15 Y
Provide and implement an infection prevention and control program. Health 2024-01-11 2024-02-15 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-01-08 2024-02-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-01-08 2024-02-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-08 2024-02-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-08 2024-02-15 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-08 2024-02-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-09 2023-12-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-22 2022-12-22 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-11-22 2022-12-22 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-11-22 2022-12-22 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-09-22 2022-10-20 Y
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Health 2022-04-21 2022-05-18 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-31 2022-05-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-31 2022-05-02 N
Post nurse staffing information every day. Health 2022-03-31 2022-05-02 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-03-31 2022-05-02 N
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2021-08-20 2021-09-20 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 2021-05-27 2021-06-27 Y
Install corridor and hallway doors that block smoke. Fire Safety 2020-10-27 2020-12-15 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 2020-10-28 2020-11-27 N
Ensure each resident receives an accurate assessment. Health 2020-10-28 2020-11-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-10-28 2020-11-27 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2020-10-28 2020-11-27 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 2020-10-28 2020-11-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-10-28 2020-11-27 N
Keep all essential equipment working safely. Health 2020-10-28 2020-11-27 N
Provide properly protected cooking facilities. Fire Safety 2020-10-27 2020-11-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-10-27 2020-11-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-10-27 2020-11-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-10-27 2020-11-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-10-27 2020-11-20 N
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. Fire Safety 2020-10-27 2020-11-20 N