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Deficiency Records for Bedrock Rehabilitation and Nursing Center at Suwan
A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Suwan. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Suwan. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2025-02-07 | 2025-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-07 | 2025-03-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-07 | 2025-03-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-07 | 2025-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-07 | 2025-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-07 | 2025-03-11 | N |
| Post nurse staffing information every day. | Health | 2025-02-07 | 2025-03-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-07 | 2025-03-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-07 | 2025-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-07 | 2025-03-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-07 | 2025-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-07 | 2025-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-07 | 2025-03-11 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-05 | 2025-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-05 | 2025-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-04 | 2024-12-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-05 | 2024-12-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-12 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-12 | 2023-11-17 | 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 | 2023-10-12 | 2023-11-17 | 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 | 2023-10-12 | 2023-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-11-17 | 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 | 2023-10-12 | 2023-11-17 | Y |
| Meet other general requirements. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-19 | 2023-05-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-19 | 2023-05-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-19 | 2023-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-08-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-21 | 2022-05-20 | 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 | 2022-04-21 | 2022-05-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-21 | 2022-05-20 | N |
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