A list of the most recent deficiencies for Envive of Berne. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-28 | 2024-01-02 | 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 | 2023-11-28 | 2024-01-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-11-28 | 2024-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2024-01-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-28 | 2024-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-28 | 2024-01-02 | 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 | 2023-11-16 | 2023-11-17 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-19 | 2023-11-04 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-09 | 2023-03-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-09 | 2023-03-20 | 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 | 2023-01-09 | 2023-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-09 | 2023-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-24 | 2023-02-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-15 | 2022-12-29 | N |
| Post nurse staffing information every day. | Health | 2022-12-15 | 2022-12-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-15 | 2022-12-29 | 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 | 2022-12-15 | 2022-12-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-22 | 2022-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2022-12-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-11 | 2022-09-24 | Y |
| 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 | 2022-09-11 | 2022-09-24 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-06 | 2021-12-24 | 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 | 2021-12-06 | 2021-12-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-12-06 | 2021-12-24 | 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 | 2021-12-06 | 2021-12-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-12-06 | 2021-12-24 | 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 | 2021-11-23 | 2021-12-10 | N |
