A list of the most recent deficiencies for Bear Mountain at Worcester. 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-20 | 2024-01-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-02 | 2023-11-30 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-31 | 2023-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-31 | 2023-09-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-11 | 2023-09-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-11 | 2023-09-18 | 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 | 2023-08-11 | 2023-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-11 | 2023-09-18 | 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 | 2023-08-11 | 2023-09-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-11 | 2023-09-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-11 | 2023-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-08 | 2023-03-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-08 | 2023-03-27 | 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 | 2023-02-08 | 2023-03-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-08 | 2023-03-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-23 | 2022-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-23 | 2022-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-23 | 2022-04-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-23 | 2022-04-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-23 | 2022-04-23 | 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 | 2022-02-23 | 2022-04-23 | 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 | 2022-02-23 | 2022-04-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-23 | 2022-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-23 | 2022-04-23 | 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 | 2022-02-23 | 2022-04-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-23 | 2022-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-23 | 2022-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-23 | 2022-04-23 | N |
| 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 | 2022-02-23 | 2022-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-23 | 2022-04-23 | 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 | 2022-02-23 | 2022-04-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-23 | 2022-04-23 | 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 | 2022-02-23 | 2022-04-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-23 | 2022-04-23 | 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 | 2022-02-23 | 2022-04-23 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-02-23 | 2022-04-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-02-23 | 2022-04-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-23 | 2022-04-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-23 | 2022-04-23 | 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 | 2022-03-07 | 2022-03-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-03-07 | 2022-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-17 | 2022-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-17 | 2022-01-15 | Y |
| 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 | 2021-11-17 | 2022-01-15 | 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 | 2021-11-17 | 2022-01-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-17 | 2022-01-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-24 | 2021-05-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-24 | 2021-05-08 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-03-24 | 2021-05-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-24 | 2021-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-24 | 2021-05-08 | 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 | 2021-03-24 | 2021-05-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-24 | 2021-05-08 | 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 | 2021-03-24 | 2021-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-24 | 2021-05-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-03-24 | 2021-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-24 | 2021-05-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-24 | 2021-05-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-03-24 | 2021-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-05 | 2021-04-15 | N |
