Deficiency Records for Blackstone Valley Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Blackstone Valley Health and Rehabilitation. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-26 | 2022-08-30 | N |
| 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 | 2022-07-26 | 2022-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-26 | 2022-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-26 | 2022-08-30 | 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 | 2022-07-26 | 2022-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-26 | 2022-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-26 | 2022-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-26 | 2022-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-26 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-08-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-26 | 2022-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-08-10 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-04 | 2022-08-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-29 | 2022-02-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-29 | 2022-02-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-04 | 2021-12-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-01 | 2021-09-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-31 | 2021-09-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-31 | 2021-09-22 | 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 | 2021-08-31 | 2021-09-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-31 | 2021-09-22 | 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 | 2021-08-31 | 2021-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-09-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-08-31 | 2021-09-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-31 | 2021-09-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-24 | 2021-08-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-24 | 2021-08-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-24 | 2021-08-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-16 | 2019-05-17 | 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 | 2019-04-16 | 2019-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-16 | 2019-05-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-04-29 | 2019-05-09 | N |
