Deficiency Records for Berlin Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Berlin Nursing and Rehabilitation Center. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-27 | 2023-11-28 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-27 | 2023-11-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-27 | 2023-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-11-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-27 | 2023-10-20 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-27 | 2023-10-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-27 | 2023-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-27 | 2023-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-27 | 2023-10-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-27 | 2023-10-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-27 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-27 | 2023-10-20 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-09-27 | 2023-10-20 | 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 | 2023-09-27 | 2023-10-20 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-27 | 2023-10-20 | Y |
| Post nurse staffing information every day. | Health | 2023-09-27 | 2023-10-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-27 | 2023-10-20 | Y |
| 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 | 2023-09-27 | 2023-10-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-27 | 2023-10-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-27 | 2023-10-20 | 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 and emergencies. | Health | 2023-09-27 | 2023-10-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-27 | 2023-10-20 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-09-27 | 2023-10-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-09 | 2022-08-09 | 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 | 2022-06-09 | 2022-08-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-09 | 2022-08-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-10 | 2022-07-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-10 | 2022-07-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-10 | 2022-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-10 | 2022-07-15 | 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 | 2022-06-10 | 2022-07-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-10 | 2022-07-15 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-06-10 | 2022-07-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-10 | 2022-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-10 | 2022-07-15 | 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 | 2022-06-10 | 2022-07-15 | N |
| Provide or obtain dental services for each resident. | Health | 2022-06-10 | 2022-07-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-10 | 2022-07-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-09-21 | 2018-10-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-09-21 | 2018-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-21 | 2018-10-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-21 | 2018-10-16 | N |
| Keep all essential equipment working safely. | Health | 2018-09-21 | 2018-10-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-06-14 | 2017-09-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-14 | 2017-09-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-14 | 2017-09-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-06-14 | 2017-09-06 | N |
