A list of the most recent deficiencies for Signature Healthcare of Bremen. 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 | 2023-03-13 | 2023-04-11 | 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 | 2023-03-13 | 2023-04-11 | 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 | 2023-03-13 | 2023-04-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-15 | 2023-03-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-15 | 2023-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-15 | 2023-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-15 | 2023-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-15 | 2023-03-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-15 | 2023-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-06-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-29 | 2022-06-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-21 | 2020-02-11 | 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 | 2020-01-21 | 2020-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-21 | 2020-02-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-21 | 2020-02-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-21 | 2020-02-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-21 | 2020-02-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-21 | 2020-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-21 | 2020-02-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-29 | 2019-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-29 | 2019-11-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-29 | 2019-11-28 | 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 | 2019-10-29 | 2019-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-29 | 2019-11-28 | 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 | 2019-10-29 | 2019-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-29 | 2019-11-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-05 | 2018-11-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-17 | 2018-11-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-17 | 2018-11-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-17 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-17 | 2018-11-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-17 | 2018-11-16 | N |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2018-10-17 | 2018-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-17 | 2018-11-16 | N |
