A list of the most recent deficiencies for Life Care Center of Burlington. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-17 | 2023-08-11 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-21 | 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 | 2023-03-07 | 2023-04-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-07 | 2023-04-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-07 | 2023-04-12 | 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 | 2023-01-31 | 2023-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-31 | 2023-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-31 | 2023-02-28 | 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 | 2023-01-31 | 2023-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-31 | 2023-02-28 | 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 | 2023-01-31 | 2023-02-28 | 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 | 2023-01-31 | 2023-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-31 | 2023-02-28 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-10-12 | 2022-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-07-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-13 | 2022-07-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-07 | 2022-02-28 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-19 | 2021-09-28 | 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 | 2021-08-19 | 2021-09-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-19 | 2021-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-31 | 2021-09-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-19 | 2021-08-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-08-13 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-07-12 | 2021-08-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-12 | 2021-08-06 | 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 | 2021-07-12 | 2021-08-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-12 | 2021-08-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-07-12 | 2021-08-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-04 | 2021-03-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-04 | 2021-03-19 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-23 | 2019-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-23 | 2019-10-23 | 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 | 2019-09-23 | 2019-10-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-09-23 | 2019-10-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-23 | 2019-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-23 | 2019-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-23 | 2019-10-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-23 | 2019-10-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-09-04 | 2019-10-04 | 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 | 2019-09-04 | 2019-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
