Deficiency Records for Batavia Rehabilitation and Health Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Batavia Rehabilitation and Health Care 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-10-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-08 | 2023-08-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-08 | 2023-08-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-08 | 2023-08-22 | 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 | 2023-08-08 | 2023-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-08 | 2023-08-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-08 | 2023-08-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-08 | 2023-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-08 | 2023-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-08 | 2023-08-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-20 | 2023-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-08-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-20 | 2023-08-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-06 | 2022-07-27 | 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 | 2022-06-15 | 2022-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-15 | 2022-06-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-06-15 | 2022-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-06-17 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-06-15 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-04 | 2021-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-04 | 2021-07-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-04 | 2021-07-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-04 | 2021-07-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-04 | 2021-07-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-04 | 2021-07-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-04 | 2021-06-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-04 | 2021-06-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-04 | 2021-06-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-27 | 2021-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-27 | 2021-06-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-05-27 | 2021-06-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-05-27 | 2021-06-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-05-27 | 2021-06-07 | 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 | 2021-06-04 | 2021-06-07 | N |
