A list of the most recent deficiencies for Blair Ridge Health Campus. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-24 | 2023-09-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-24 | 2023-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-24 | 2023-09-14 | 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 | 2022-04-25 | 2022-05-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-25 | 2022-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-25 | 2022-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-21 | 2022-04-15 | 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 | 2022-03-21 | 2022-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-21 | 2022-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-21 | 2022-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-21 | 2022-04-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-21 | 2022-04-15 | 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 | 2022-03-21 | 2022-04-15 | 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 | 2022-03-21 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-21 | 2022-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2021-12-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-23 | 2019-11-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-23 | 2019-11-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-10-23 | 2019-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-23 | 2019-11-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-09-09 | 2019-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-09 | 2019-10-09 | 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 | 2019-09-09 | 2019-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-09 | 2019-10-09 | 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 | 2019-09-09 | 2019-10-09 | 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 | 2019-09-09 | 2019-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-09 | 2019-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-09 | 2019-10-09 | N |
