Deficiency Records for Birchwood Plaza
Updated as of September 01, 2018
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-23 | 2018-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-23 | 2018-05-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-03-23 | 2018-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-23 | 2018-05-05 | 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 | 2018-03-23 | 2018-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-23 | 2018-05-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-23 | 2018-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-23 | 2018-05-05 | 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 | 2018-03-23 | 2018-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-27 | 2018-05-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-03-27 | 2018-05-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-03-27 | 2018-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-27 | 2018-03-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-27 | 2018-03-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-03-27 | 2018-03-29 | N |
| Use approved construction type or materials. | Fire Safety | 2017-04-18 | 2017-07-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-18 | 2017-07-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-20 | 2017-05-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-20 | 2017-05-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-20 | 2017-05-29 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-20 | 2017-05-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-20 | 2017-05-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-20 | 2017-05-29 | N |
| Keep all essential equipment working safely. | Health | 2017-04-20 | 2017-05-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-04-20 | 2017-05-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-18 | 2017-04-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-04-18 | 2017-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-18 | 2017-04-18 | N |
| 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 |
