CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bishop Drumm Retirement Center
View the most recent health deficiencies and inspection results for Bishop Drumm Retirement Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bishop Drumm Retirement Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-18 | 2026-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-18 | 2026-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-18 | 2026-04-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-18 | 2026-04-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-02-18 | 2026-04-20 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-02-18 | 2026-04-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-18 | 2026-04-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-18 | 2026-04-20 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-02-18 | 2026-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-18 | 2026-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-17 | 2025-10-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-17 | 2025-10-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-17 | 2025-10-16 | 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 | 2025-09-17 | 2025-10-16 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-09-17 | 2025-10-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-17 | 2025-10-16 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-09-17 | 2025-10-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-17 | 2025-10-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-21 | 2025-09-28 | 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 | 2025-07-21 | 2025-07-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-21 | 2025-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-21 | 2025-07-30 | 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 | 2025-07-21 | 2025-07-30 | 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 | 2025-07-21 | 2025-07-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-07-21 | 2025-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-21 | 2025-07-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-07-21 | 2025-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-21 | 2025-07-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-21 | 2025-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-21 | 2025-07-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-07-21 | 2025-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-21 | 2025-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-07-21 | 2025-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-21 | 2025-07-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-21 | 2025-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-03 | 2025-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-03 | 2025-06-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-29 | 2025-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-29 | 2025-06-11 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-03 | 2025-04-22 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-04-03 | 2025-04-22 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-19 | 2024-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-10-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-19 | 2024-10-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-09-19 | 2024-10-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-19 | 2024-10-09 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-19 | 2024-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-18 | 2024-09-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-27 | 2024-09-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-27 | 2024-07-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-06-27 | 2024-07-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-03 | 2024-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-03 | 2024-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-03 | 2024-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-27 | 2024-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-27 | 2024-03-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-27 | 2024-03-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-27 | 2024-03-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-27 | 2024-03-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-27 | 2024-03-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-10 | 2024-01-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-29 | 2023-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-10-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-08 | 2023-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-09 | 2023-10-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-09 | 2023-10-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-09 | 2023-10-25 | 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 | 2023-10-09 | 2023-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-09 | 2023-10-09 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-29 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-08-23 | 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 | 2023-06-29 | 2023-08-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-08 | 2023-08-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-08 | 2023-08-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-08 | 2023-08-23 | Y |
| 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 | 2023-06-29 | 2023-07-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-29 | 2023-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-29 | 2023-07-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-29 | 2023-07-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-29 | 2023-07-29 | Y |
| 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 | 2023-06-29 | 2023-07-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-29 | 2023-07-29 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-29 | 2023-07-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-06-29 | 2023-07-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-29 | 2023-07-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-29 | 2023-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-29 | 2023-07-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-29 | 2023-07-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-29 | 2023-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-29 | 2023-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-29 | 2023-07-11 | 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 | 2023-06-29 | 2023-06-29 | N |