A list of the most recent deficiencies for Bedford Specialty Care. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-08 | 2023-01-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-08 | 2023-01-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-08 | 2023-01-08 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-14 | 2022-12-21 | N |
| Have an externally vented heating system. | Fire Safety | 2022-12-14 | 2022-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-14 | 2022-12-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-14 | 2022-12-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-16 | 2021-09-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-16 | 2021-09-02 | 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 | 2021-08-12 | 2021-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-16 | 2021-08-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-16 | 2021-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-16 | 2021-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-16 | 2021-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-16 | 2021-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-16 | 2021-08-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-16 | 2021-08-17 | 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 | 2019-08-01 | 2019-08-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-08-02 | 2019-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-02 | 2019-08-02 | N |
