A list of the most recent deficiencies for Bourbon Heights Nursing Home. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-02 | 2021-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-02 | 2021-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-14 | 2021-05-06 | Y |
| 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 each resident receives an accurate assessment. | 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 |
| 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 |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 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 | 2020-01-08 | 2020-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-08 | 2020-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-01-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-08 | 2020-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-01-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-23 | 2019-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-23 | 2019-01-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-23 | 2019-01-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-23 | 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 | 2018-10-23 | 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 |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-28 | 2017-10-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-28 | 2017-10-20 | N |
