Deficiency Records for Birchwood Plaza
Updated as of April 01, 2021
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 | 2020-03-05 | 2020-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-05 | 2020-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-05 | 2020-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-01 | 2019-07-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-01 | 2019-06-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-01 | 2019-06-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-01 | 2019-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-01 | 2019-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-01 | 2019-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-01 | 2019-06-11 | 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 | 2019-05-01 | 2019-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-01 | 2019-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-01 | 2019-06-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-01 | 2019-06-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-01 | 2019-05-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-01 | 2019-05-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-01 | 2019-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-01 | 2019-05-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-27 | 2018-08-01 | N |
| 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 |
