A list of the most recent deficiencies for Bainbridge Health and Rehab. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-12-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-25 | 2022-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-25 | 2022-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Provide large enough exits. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-15 | 2019-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-19 | 2018-05-23 | 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 | 2018-03-22 | 2018-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-04-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-19 | 2018-04-24 | N |
