Deficiency Records for Nursing and Rehabilitation Center of Bayonet Point
Updated as of March 01, 2024
A list of the most recent deficiencies for Nursing and Rehabilitation Center of Bayonet Point. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-28 | 2022-08-18 | 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 | 2022-07-28 | 2022-08-18 | 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 | 2022-07-28 | 2022-08-18 | N |
| 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 | 2022-07-26 | 2022-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-26 | 2022-08-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-26 | 2022-08-18 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-06-09 | 2022-07-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-09 | 2022-07-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-09 | 2022-07-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-06 | 2022-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2021-12-23 | Y |
| Post nurse staffing information every day. | Health | 2021-04-08 | 2021-04-27 | Y |
| 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 | 2021-04-08 | 2021-04-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-06 | 2021-04-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-29 | 2019-04-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-29 | 2019-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-29 | 2019-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-29 | 2019-04-29 | 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 | 2019-03-29 | 2019-04-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-29 | 2019-04-29 | 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 | 2019-03-29 | 2019-04-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-29 | 2019-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-04-29 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-03-29 | 2019-04-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-03-29 | 2019-04-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-26 | 2019-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-26 | 2019-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-26 | 2019-04-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-26 | 2019-04-29 | N |
