A list of the most recent deficiencies for Borderview Rehab and Living Ctr. 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 residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-12-28 | 2023-01-27 | 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 | 2022-12-28 | 2023-01-27 | 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 | 2022-10-05 | 2022-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-11-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-05 | 2022-11-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-05 | 2022-11-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-10-05 | 2022-11-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-03 | 2022-10-21 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-03 | 2022-10-21 | 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 | 2022-10-03 | 2022-10-21 | 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 | 2022-10-03 | 2022-10-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-10-03 | 2022-10-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-10-03 | 2022-10-21 | 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 | 2021-04-08 | 2021-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-08 | 2021-05-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-08 | 2021-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-08 | 2021-05-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Add automatic sprinklers after major renovation. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-04-06 | 2021-04-16 | 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 | 2021-04-06 | 2021-04-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-06 | 2021-04-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-03 | 2019-07-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-03 | 2019-07-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-03 | 2019-07-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-05 | 2019-07-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-05 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-05 | 2019-07-24 | N |
