Deficiency Records for Birchwood Plaza

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Updated as of May 01, 2024

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Deficiency Records for Birchwood Plaza

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.

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 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 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

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