Deficiency Records for Bedford Springs Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Bedford Springs Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-11-08 | 2019-12-27 | 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 | 2019-11-08 | 2019-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-27 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-05 | 2019-12-27 | 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 | 2019-11-05 | 2019-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-05 | 2019-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-10-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-10-08 | N |
| Provide appropriate foot care. | Health | 2018-09-13 | 2018-10-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-17 | 2018-10-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-09-17 | 2018-10-08 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-07-27 | 2017-09-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-27 | 2017-09-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-27 | 2017-09-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-27 | 2017-09-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-27 | 2017-09-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-27 | 2017-09-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-27 | 2017-09-05 | N |
