A list of the most recent deficiencies for Buckingham's Choice. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-19 | 2019-10-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-19 | 2019-10-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-19 | 2019-10-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-19 | 2019-10-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-08-19 | 2019-10-17 | 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 | 2019-08-19 | 2019-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-10-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-19 | 2019-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-10-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-15 | 2019-09-30 | 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 | 2019-08-15 | 2019-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-15 | 2019-09-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-22 | 2018-08-31 | 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 | 2018-06-22 | 2018-08-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-22 | 2018-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-22 | 2018-08-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-22 | 2018-08-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-22 | 2018-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-22 | 2018-08-31 | 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 | 2018-06-22 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-22 | 2018-08-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-22 | 2018-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-25 | 2018-08-09 | 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 | 2018-06-25 | 2018-07-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-25 | 2018-07-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-10 | 2017-05-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-10 | 2017-05-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-10 | 2017-05-15 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-10 | 2017-05-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-10 | 2017-05-15 | N |
| Keep all essential equipment working safely. | Health | 2017-03-10 | 2017-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-15 | 2017-05-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-03-15 | 2017-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-15 | 2017-05-15 | N |
