A list of the most recent deficiencies for Bayleigh Chase. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-25 | 2019-10-15 | 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 | 2019-07-25 | 2019-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-25 | 2019-10-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-12 | 2019-08-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-12 | 2019-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-12 | 2019-08-31 | 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 | 2019-07-12 | 2019-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-12 | 2019-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-12 | 2019-08-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-07-12 | 2019-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-12 | 2019-08-31 | 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 | 2019-07-12 | 2019-08-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-12 | 2019-08-31 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-07-12 | 2019-08-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-21 | 2018-04-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-02-21 | 2018-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-02-21 | 2018-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-21 | 2018-04-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-21 | 2018-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-21 | 2018-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-21 | 2018-04-30 | 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 | 2018-02-21 | 2018-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-21 | 2018-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-21 | 2018-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-21 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-21 | 2018-04-30 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2018-02-20 | 2018-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-20 | 2018-03-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-20 | 2018-03-27 | 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 | 2018-02-20 | 2018-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-20 | 2018-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-20 | 2018-03-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-20 | 2018-03-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-20 | 2018-03-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-30 | 2017-01-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-30 | 2017-01-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-30 | 2017-01-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-30 | 2017-01-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-30 | 2017-01-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2016-12-05 | 2016-12-13 | N |
