Deficiency Records for Birchwood Plaza
Updated as of August 01, 2016
This is not the most recent data for Birchwood Plaza. For the most recent information, click here.
A list of the most recent deficiencies for Birchwood Plaza. 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? |
|---|---|---|---|---|
| Exits that are accessible at all times. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-17 | 2016-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-18 | 2016-04-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-03-18 | 2016-04-18 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-03-17 | 2016-03-17 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-03-17 | 2016-03-17 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-02-11 | 2015-05-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-02-11 | 2015-05-05 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-02-11 | 2015-05-05 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-02-11 | 2015-05-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-02-11 | 2015-05-05 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2015-02-13 | 2015-03-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-02-13 | 2015-03-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-02-13 | 2015-03-27 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-02-11 | 2015-02-25 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-02-11 | 2015-02-13 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-04-09 | 2014-07-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-09 | 2014-07-03 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2014-04-09 | 2014-07-03 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2014-04-09 | 2014-07-03 | N |
| Approved construction type or materials. | Fire Safety | 2014-04-09 | 2014-06-25 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-04-09 | 2014-06-25 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2014-04-09 | 2014-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-05-09 | 2014-05-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-10 | 2014-05-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-04-10 | 2014-05-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-04-10 | 2014-05-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-04-09 | 2014-05-25 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-04-09 | 2014-05-10 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2014-04-09 | 2014-04-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-04-09 | 2014-04-10 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2014-04-09 | 2014-04-10 | N |
