Deficiency Records for Bear Lake Memorial Skilled Nursing Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for Bear Lake Memorial Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-06-20 | 2019-07-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-20 | 2019-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-20 | 2019-07-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-20 | 2019-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-07-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-20 | 2019-07-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-06-20 | 2019-07-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-10-02 | 2018-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-26 | 2018-03-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-01-26 | 2018-03-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-26 | 2018-03-21 | 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 | 2018-01-26 | 2018-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-26 | 2018-03-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-01-26 | 2018-03-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-26 | 2018-03-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-01-26 | 2018-03-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-26 | 2018-03-21 | 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 | 2018-01-26 | 2018-03-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-01-26 | 2018-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-26 | 2018-03-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-01-26 | 2018-03-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-26 | 2018-03-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-01-26 | 2018-03-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-01-26 | 2018-03-21 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-07 | 2017-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-07 | 2017-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-07 | 2017-08-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-07 | 2016-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-07 | 2016-10-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-07 | 2016-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-07 | 2016-10-31 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-10-07 | 2016-10-31 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-10-07 | 2016-10-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-07 | 2016-10-31 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-23 | 2016-10-27 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-08-23 | 2016-10-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-23 | 2016-10-11 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-23 | 2016-10-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-23 | 2016-10-11 | N |
| Portable fire extinguishers. | Fire Safety | 2016-08-23 | 2016-10-11 | N |
