Deficiency Records for Bonterra Transitional Care and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Bonterra Transitional Care 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-16 | 2023-08-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-16 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-08-16 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-16 | 2023-08-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-04 | 2023-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-04 | 2023-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-04 | 2023-02-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-04 | 2023-02-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-04 | 2023-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-02-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-05 | 2023-02-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-05 | 2023-02-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-02-15 | Y |
| 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 | 2023-01-05 | 2023-02-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-05 | 2023-02-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-05 | 2023-02-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-05 | 2023-02-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-07-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-27 | 2021-07-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-27 | 2021-07-06 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-05-27 | 2021-07-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-27 | 2021-07-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-24 | 2021-07-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-24 | 2021-07-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2020-01-19 | 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 | 2019-12-05 | 2020-01-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-12-03 | 2020-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-03 | 2020-01-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-03 | 2020-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-03 | 2020-01-19 | N |
