Deficiency Records for Bolingreen Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Bolingreen Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-04 | 2024-03-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-04 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-04 | 2024-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-04 | 2024-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-04 | 2024-03-01 | 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 | 2024-02-04 | 2024-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-04 | 2024-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-04 | 2024-03-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-04 | 2024-03-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-02-04 | 2024-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-04 | 2024-03-01 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-04 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-04 | 2024-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-03 | 2024-03-01 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-02-03 | 2024-03-01 | 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 | 2023-01-12 | 2023-02-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-12 | 2023-02-26 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-12 | 2023-02-26 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-01-09 | 2020-02-23 | 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 | 2020-01-09 | 2020-02-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-09 | 2020-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-23 | 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 | 2020-01-09 | 2020-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-23 | N |
| Post nurse staffing information every day. | Health | 2020-01-09 | 2020-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-09 | 2020-02-23 | 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 | 2020-01-09 | 2020-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-08 | 2020-02-23 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2020-01-08 | 2020-02-23 | N |
