Deficiency Records for Majestic Care of Bedford
Updated as of December 01, 2018
This is not the most recent data for Majestic Care of Bedford. For the most recent information, click here.
A list of the most recent deficiencies for Majestic Care of Bedford. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-08 | 2019-01-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-08 | 2019-01-31 | N |
| Have an externally vented heating system. | Fire Safety | 2018-11-08 | 2019-01-31 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-11-08 | 2019-01-31 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-11-08 | 2018-12-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-08 | 2018-12-31 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-11-08 | 2018-12-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-11-08 | 2018-12-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-11-08 | 2018-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2018-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-08 | 2018-11-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-08 | 2018-11-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-08 | 2018-11-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-11-27 | 2017-12-27 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-17 | 2017-11-16 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-08-28 | 2017-09-27 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-28 | 2017-09-27 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-28 | 2017-09-27 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-28 | 2017-09-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-28 | 2017-09-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-28 | 2017-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-28 | 2017-09-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-28 | 2017-09-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-28 | 2017-09-27 | N |
| Keep all essential equipment working safely. | Health | 2017-08-28 | 2017-09-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-28 | 2017-09-27 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-11-29 | 2016-12-29 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-11-29 | 2016-12-29 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-27 | 2016-10-27 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-27 | 2016-10-27 | Y |
| Fire resistant interior walls. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Horizontal exits. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| An externally vented heating system. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-06-23 | 2016-08-19 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-06-09 | 2016-06-27 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-09 | 2016-06-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-09 | 2016-06-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-09 | 2016-06-27 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-19 | 2016-06-10 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-19 | 2016-06-10 | Y |
