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Deficiency Records for Blueberry Hill Rehabilitation and Healthcare Ctr
View the most recent health deficiencies and inspection results for Blueberry Hill Rehabilitation and Healthcare Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Blueberry Hill Rehabilitation and Healthcare Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-17 | 2026-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-17 | 2026-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-17 | 2026-01-23 | 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 | 2025-12-17 | 2026-01-23 | N |
| Provide or obtain dental services for each resident. | Health | 2025-12-17 | 2026-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-17 | 2026-01-12 | 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 | 2025-12-17 | 2026-01-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-12-17 | 2026-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-17 | 2026-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-17 | 2026-01-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-17 | 2026-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-19 | 2025-03-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-19 | 2025-03-24 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-12 | 2025-01-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-12 | 2025-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-12 | 2025-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-12 | 2025-01-02 | 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 | 2024-11-12 | 2025-01-02 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-11-12 | 2025-01-02 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-11-12 | 2025-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-12 | 2025-01-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-12 | 2024-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-12 | 2024-12-11 | 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 | 2024-11-12 | 2024-12-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-11-12 | 2024-12-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-12 | 2024-12-11 | 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 | 2024-11-12 | 2024-12-11 | N |
| Provide or obtain dental services for each resident. | Health | 2024-11-12 | 2024-12-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-12 | 2024-12-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-12 | 2024-12-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-12 | 2024-12-11 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-12 | 2024-12-11 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-11-12 | 2024-12-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-12 | 2024-12-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-12 | 2024-12-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-11-12 | 2024-12-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-12 | 2024-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-12 | 2024-12-11 | 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 | 2024-11-12 | 2024-12-11 | N |
| Respond appropriately to all alleged violations. | Health | 2024-11-12 | 2024-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-12 | 2024-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-12 | 2024-12-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-12 | 2024-12-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-23 | 2024-02-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-26 | 2023-12-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-26 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-12-11 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-10-26 | 2023-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-12-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-26 | 2023-12-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-26 | 2023-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-12-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-26 | 2023-12-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-12-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-12-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-26 | 2023-12-11 | 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 | 2023-10-26 | 2023-11-14 | N |