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Deficiency Records for Bourbon Heights Nursing Home
View the most recent health deficiencies and inspection results for Bourbon Heights Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bourbon Heights Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2025-01-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-11-22 | 2025-01-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-22 | 2025-01-25 | 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 | 2024-11-22 | 2025-01-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-11-22 | 2025-01-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-22 | 2025-01-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-11-22 | 2025-01-25 | 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 | 2024-11-22 | 2025-01-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-22 | 2025-01-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-11-22 | 2025-01-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-22 | 2025-01-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-22 | 2025-01-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-22 | 2025-01-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2025-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-22 | 2025-01-25 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-11-22 | 2025-01-25 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-11-22 | 2025-01-25 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-11-22 | 2025-01-25 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-22 | 2025-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-22 | 2024-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-05-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-05 | 2024-05-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-05 | 2024-05-20 | 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 | 2020-01-10 | 2020-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-10 | 2020-02-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-10 | 2020-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-10 | 2020-02-07 | 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 | 2020-01-10 | 2020-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-10 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-10 | 2020-01-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-10 | 2020-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-10 | 2020-01-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-25 | 2019-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-25 | 2019-01-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-25 | 2019-01-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-25 | 2018-12-22 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-10-25 | 2018-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-25 | 2018-12-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-10-25 | 2018-12-20 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-25 | 2018-12-20 | 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 | 2018-10-25 | 2018-12-20 | N |