A list of the most recent deficiencies for The Pavilion of Bridgeview. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | 2023-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-10-03 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-14 | 2023-07-18 | N |
| 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 | 2023-07-14 | 2023-07-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-14 | 2023-07-18 | 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 | 2023-07-14 | 2023-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-14 | 2023-07-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-14 | 2023-07-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-14 | 2023-07-18 | 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 | 2023-07-14 | 2023-07-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-30 | 2023-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-06-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-19 | 2022-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-08 | 2022-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-03 | 2022-06-04 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-09 | 2022-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-05-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-22 | 2022-05-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-22 | 2022-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-22 | 2022-05-16 | 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 | 2022-04-22 | 2022-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-04-22 | 2022-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-22 | 2022-05-16 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-22 | 2022-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-13 | 2022-03-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2022-01-14 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-12-16 | 2022-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-29 | 2021-10-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-01 | 2020-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-01 | 2020-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-01 | 2020-11-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-10-01 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-01 | 2020-11-06 | N |
