A list of the most recent deficiencies for Blue Point Healthcare 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? |
|---|---|---|---|---|
| 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 | 2024-02-07 | 2024-02-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-22 | 2024-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-22 | 2024-01-06 | 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 | 2023-11-22 | 2024-01-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-22 | 2024-01-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-22 | 2024-01-06 | 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 | 2023-11-22 | 2024-01-06 | 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 | 2023-11-22 | 2024-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-22 | 2024-01-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-22 | 2024-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-22 | 2024-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-22 | 2024-01-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-22 | 2024-01-06 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-11-22 | 2024-01-06 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-11-22 | 2024-01-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-22 | 2024-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-22 | 2024-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-22 | 2024-01-06 | 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 | 2023-11-22 | 2024-01-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-22 | 2024-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-22 | 2024-01-06 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-22 | 2024-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-22 | 2024-01-06 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-11-22 | 2024-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-22 | 2024-01-06 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-11-22 | 2024-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-22 | 2024-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2024-01-06 | Y |
| Meet other general requirements. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Meet other general requirements. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-24 | 2024-01-05 | 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 | 2023-10-24 | 2024-01-05 | 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 | 2023-10-24 | 2024-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-14 | 2021-10-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-09-14 | 2021-10-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-14 | 2021-10-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-14 | 2021-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-14 | 2021-10-29 | 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 | 2021-09-14 | 2021-10-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-14 | 2021-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-14 | 2021-10-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-14 | 2021-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-14 | 2021-10-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-14 | 2021-10-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-09-14 | 2021-10-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-14 | 2021-10-29 | 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 | 2021-09-14 | 2021-10-29 | N |
| Provide or obtain dental services for each resident. | Health | 2021-09-14 | 2021-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-14 | 2021-10-29 | N |
| 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 | 2021-09-14 | 2021-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-14 | 2021-10-29 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-09-14 | 2021-10-29 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2021-09-14 | 2021-10-29 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2021-09-14 | 2021-10-29 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-09-14 | 2021-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-14 | 2021-10-29 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-09-14 | 2021-10-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-14 | 2021-10-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-14 | 2021-10-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-10-29 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2021-09-07 | 2021-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-27 | 2021-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-06-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-27 | 2021-06-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-04 | 2018-11-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-04 | 2018-11-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-04 | 2018-11-18 | 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 | 2018-10-04 | 2018-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-04 | 2018-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-04 | 2018-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-18 | 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 | 2018-10-04 | 2018-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-04 | 2018-11-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-04 | 2018-11-18 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-10-04 | 2018-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-04 | 2018-11-18 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-10-04 | 2018-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-04 | 2018-11-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-10-04 | 2018-11-18 | 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 | 2018-09-27 | 2018-11-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
