Deficiency Records for Bryan County Hlth and Rehab Ctr

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Updated as of March 01, 2024

A list of the most recent deficiencies for Bryan County Hlth and Rehab Ctr. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2022-09-15 2022-10-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-15 2022-10-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-15 2022-10-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-15 2022-10-30 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 2022-09-15 2022-10-30 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-09-15 2022-10-30 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-09-15 2022-10-30 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2022-09-13 2022-10-30 N
Establish policies and procedures for medical documentation. Fire Safety 2022-09-13 2022-10-30 N
Establish policies and procedures for volunteers. Fire Safety 2022-09-13 2022-10-30 N
Establish methods for sharing information. Fire Safety 2022-09-13 2022-10-30 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-13 2022-10-30 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-09-13 2022-10-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-13 2022-10-30 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2022-09-13 2022-10-30 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-09-13 2022-10-30 N
Have power receptacles that are properly grounded. Fire Safety 2022-09-13 2022-10-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-13 2022-10-30 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-04-26 2019-06-10 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 2019-04-26 2019-06-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-26 2019-06-10 N
Provide and implement an infection prevention and control program. Health 2019-04-26 2019-06-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-04-24 2019-06-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-04-24 2019-06-10 N
Provide properly protected cooking facilities. Fire Safety 2019-04-24 2019-06-10 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-04-24 2019-06-10 N
Install an approved automatic sprinkler system. Fire Safety 2019-04-24 2019-06-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-24 2019-06-10 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2019-04-24 2019-06-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-04-24 2019-06-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-04-24 2019-06-10 N
Have proper medical gas storage and administration areas. Fire Safety 2019-04-24 2019-06-10 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2018-06-28 2018-08-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-06-28 2018-08-12 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 2018-06-28 2018-08-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-06-28 2018-08-12 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2018-07-03 2018-08-12 N
Address patient/client population and determine types of services needed. Fire Safety 2018-07-03 2018-08-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-07-03 2018-08-12 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2018-07-03 2018-08-12 N
Install an approved automatic sprinkler system. Fire Safety 2018-07-03 2018-08-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-07-03 2018-08-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-07-03 2018-08-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-07-03 2018-08-12 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2018-07-03 2018-08-12 N
Have proper medical gas storage and administration areas. Fire Safety 2018-07-03 2018-08-12 N