A list of the most recent deficiencies for Berkeley Nursing and Rehab Center. 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 a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-02 | 2023-10-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-26 | 2023-10-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-26 | 2023-10-09 | 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 | 2023-05-26 | 2023-09-29 | 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 | 2023-05-26 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-09-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-25 | 2023-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-26 | 2023-09-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-26 | 2023-09-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-26 | 2023-09-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-26 | 2023-09-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-26 | 2023-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-09-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-25 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-08-30 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-01 | 2023-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-01 | 2023-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-08-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-01 | 2023-08-18 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-01 | 2023-08-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-01 | 2023-08-18 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-01 | 2023-08-18 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2023-08-01 | 2023-08-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-08-01 | 2023-08-18 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2023-05-25 | 2023-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-25 | 2023-07-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Develop a communication plan. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish methods for sharing information. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-05-25 | 2023-07-19 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-26 | 2023-06-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-25 | 2023-05-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-06 | 2023-02-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-12-20 | 2023-01-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2023-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-20 | 2023-01-16 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-30 | 2022-11-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-30 | 2022-11-03 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Establish methods for sharing information. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-21 | 2022-08-17 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-24 | 2022-08-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-24 | 2022-08-15 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-06-23 | 2022-07-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-23 | 2022-07-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-06-23 | 2022-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-31 | 2022-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-31 | 2022-02-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-31 | 2022-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-28 | 2021-05-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-28 | 2021-05-12 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-28 | 2020-12-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Develop a communication plan. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Establish methods for sharing information. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-22 | 2020-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-22 | 2020-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-22 | 2020-12-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-10-22 | 2020-12-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-10-22 | 2020-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-22 | 2020-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-22 | 2020-12-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-10-22 | 2020-12-08 | N |
