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? |
|---|---|---|---|---|
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-03-12 | 2024-04-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-08 | 2024-04-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-08 | 2024-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | 2024-04-11 | 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 | 2024-03-08 | 2024-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-08 | 2024-04-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-03-08 | 2024-04-11 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-08 | 2024-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-08 | 2024-04-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-12 | 2024-04-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-12 | 2024-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-12 | 2024-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-12 | 2024-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-10-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-02 | 2023-06-23 | 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 | 2023-06-02 | 2023-06-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-02 | 2023-06-23 | 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 | 2023-06-02 | 2023-06-23 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-06-02 | 2023-06-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-02 | 2023-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-02 | 2023-06-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-06-02 | 2023-06-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-02 | 2022-10-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-02 | 2022-10-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-02 | 2022-10-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-09-02 | 2022-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-02 | 2022-10-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-02 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-02 | 2022-10-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-09-02 | 2022-10-07 | 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 | 2022-02-10 | 2022-02-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-10 | 2021-12-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-30 | 2021-09-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-30 | 2021-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-30 | 2021-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-25 | 2021-05-28 | Y |
