A list of the most recent deficiencies for Baptist Village, Inc.. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-27 | 2023-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-27 | 2023-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-27 | 2023-06-11 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-27 | 2023-06-11 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-27 | 2023-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-11-24 | 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 | 2019-06-06 | 2019-07-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-06 | 2019-07-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-06 | 2019-07-17 | N |
| Post nurse staffing information every day. | Health | 2019-06-06 | 2019-07-17 | 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 | 2019-06-06 | 2019-07-17 | N |
